Medicinal aerosol solution formulation with biocompatible polymer

ABSTRACT

Methods, compounds, and medicinal formulations utilizing biocompatible polymers for delivery of a drug, particularly for solubilizing, stabilizing and/or providing sustained release of drug from topical, implantable, and inhalation systems. Many of the methods, compounds, and medicinal formulations are particularly suitable for oral and/or nasal inhalation and use polymers of the formula —[X—R 1 —C(O)]— wherein each R 1  is an independently selected organic group that links the —X— group to the carbonyl group, and each X is independently oxygen, sulfur, or catenary nitrogen.

This is a division of application Ser. No. 08/797,803 filed Feb. 7,1997, now U.S. Pat. No. 6,126,919 patented Oct. 3, 2000.

The present invention relates to the use of relatively low molecularweight biocompatible polymeric compounds for pharmaceutical drugdelivery formulations, and, in particular, to the use of such compoundsas drug solubilizing and drug stabilizing aids and/or to providesustained release of drug.

BACKGROUND OF THE INVENTION

Biodegradable polymers have long been examined for their use inproviding sustained release of drugs and have also been used to makebiodegradable medical products. For example, polymeric esters ofselected hydroxycarboxylic acids or their derivatives (e.g., lacticacid, glycolic acid, p-dioxanone, etc.) are known to be highlybiocompatible with, and biodegradable in, the human body. Such polymersare degraded into their constituent hydroxycarboxylic acids, which aremetabolized and eliminated from the body, over periods typically rangingfrom several weeks to several years. Consequently, compounds of thistype have been utilized for such things as degradable sutures, preformedimplants, and sustained release matrices.

However, the biodegradable polymers in use for such purposes typicallyhave average molecular weights of greater than 2000 and often as high as50,000 to 250,000 (all molecular weights referred to herein are indaltons). This results in biodegradation rates that are generally tooslow for situations requiring frequent application and/or where abiological half-life of less than a week down to several hours isdesired (e.g., topical application to a wound or for inhalationtherapy). Certain relatively low molecular weight polymers having anumber-average molecular weight under about 1800 may have sufficientlyshort biodegradation times for many such purposes, but have generallynot been deemed suitable for most sustained release drug deliverysystems. This is at least in part because the physical characteristicsof these relatively low molecular weight polymers have been regarded asunsuitable for many conventional drug delivery formats. For example,polylactic acids having a number-average molecular weight of less thanabout 1000 with a normal molecular weight distribution (i.e., adistribution that is substantially unchanged from that obtained viapolymerization), typically having a polydispersity (i.e., the ratio ofthe weight-average to number-average molecular weights) of greater thanabout 1.8, tend to have a glass transition temperature (Tg) below roomtemperature, which is about 23° C., and are generally soft, waxy, ortacky materials. Such materials are not generally suitable for makingconventional preformed, solid, drug-containing structures, such asmicrospheres, for sustained drug release because the low Tg prevents thematerial from maintaining its physical integrity. Also, the release rateof drug from, and percent loading of drug into, conventional lowmolecular weight biodegradable systems have not generally beenconsidered sufficient to be useful for most drug delivery systems.Accordingly, formulations and methods of utilizing biocompatible, andpreferably biodegradable, polymers to provide relatively short termsustained release of drugs would be highly desirable.

One particular area where sustained release is extremely useful, and yethas been difficult to achieve satisfactorily, is in the context of druginhalation therapy, such as with metered dose inhalers (MDIs). Drugsused for localized pulmonary administration, for examplebronchodilators, are usually limited in their efficacy by the necessityfor frequent administration. This is typically due to the rapiddissolution, absorption, and metabolism of the drugs in the lung. Manyattempts have been made to provide sustained release of drugs to thelung, as well as other locations, by entrapping or encapsulating thedrug in preformed, biodegradable microspheres.

However, there are serious drawbacks with using preformed microspheres.First, it has generally been necessary to use polymers with anumber-average molecular weight of at least about 1800, and usuallyhigher, so that the Tg is high enough for the particles to remaindiscrete, or at least separable, prior to use. As noted above, polymersof too high molecular weight will typically degrade too slowly to beuseful in inhalation therapy because of the tendency for highermolecular weight materials to collect and build up in the lungparenchyma upon continued use. Second, the production of preformedmicrospheres is often difficult, inefficient, costly, and may involvethe use of materials which are physiologically and/or environmentallyhazardous. Despite efforts to improve the processes, there are oftenproblems with, for example, low and inefficient drug entrapment,aggregation of particles, wide distributions of particle sizes, and thepresence of nonparticulate materials.

Hence, there is a substantial need for means of making microparticlesthat are suitable for pulmonary drug delivery and will not accumulate inthe lung, and, even more preferably, for means of providing sustainedrelease of drug without requiring the use of preformed microspheres atall.

Another important issue relating to medicinal aerosol formulations suchas in MDIs relates to whether the drug is dissolved in the formulationor present as a micronized suspension of particles. Although there areadvantages to using aerosol formulations where the drug is in solution,most commercially available MDIs have the drug suspended in thepropellant as a micronized dispersion. This is because in most cases thedrug either is not sufficiently soluble in the formulation to form astable solution or, if soluble, the drug is too chemically unstable inits dissolved form. Accordingly, there is also a substantial need forbiocompatible compounds that act as solubilizing aids and/or chemicalstabilizers for drug in medicinal aerosol formulations.

U.S. Pat. No. 5,569,450 (Duan et al.) discloses that biocompatibleoligomers such as oligohydroxycarboxylic acids are useful as dispersingaids to help maintain particles as a suitable suspension. However, itdoes not disclose formulations of such compounds providing sustaineddrug release or as a drug solubilizing and/or stabilizing aid.

In other, non-inhalation contexts, biocompatible polymers have been usedfor various therapeutic systems, such as spray-on skin covering filmswhich may have a drug included. Such systems, however, are generally notdeemed to have both suitable physical and biological/degradationcharacteristics for most sustained release drug delivery applications.

SUMMARY OF THE INVENTION

The methods, compounds, and medicinal formulations of the presentinvention provide broadly applicable means for delivery of a drug. Theyare particularly useful for drug solubilization and chemicalstabilization, as well as for providing sustained release of drug from adrug delivery system, such as topical, implantable, and inhalationsystems. Additionally, means are provided for improving the physical anddegradation characteristics of biodegradable polymers and also forforming drug-polymer medicinal salts. Many of the methods, compounds,and medicinal formulations are particularly useful for oral and/or nasaldrug delivery, such as by inhalation from a metered dose inhaler.

Biocompatible Polymers

All of the formulations of the present invention utilize one or morebiocompatible, and preferably biodegradable, polymeric compounds. Asused herein, “polymer” and “polymeric” are, unless otherwise indicated,intended to broadly include homopolymers and block/random copolymers(and oligomers) including a chain of at least three or more monomerstructural units formed by polymerization reactions (e.g., condensationor ring-opening polymerization). Preferred biocompatible polymers arebiodegradable and are preferably formed by a condensation typepolymerization. For some preferred embodiments, the biocompatiblepolymers are homopolymers, while for others they are copolymers.Preferably, the repeating structural units contain amide units, esterunits, or mixtures thereof

Preferred such biocompatible polymers include at least one chain ofunits of the formula —[X—R¹—C(O)]— wherein: each R¹ is an independentlyselected organic group that links the X group to the carbonyl group; andeach X is independently oxygen, sulfur, or catenary nitrogen. Suchcompounds can include chains having different R¹ groups, although forcertain embodiments each R¹ moiety is the same. The preferred X group isoxygen. Particularly preferred biocompatible polymers are relatively lowmolecular weight polylactic acids (PLAs). One reason they are preferredis because lactic acid is well known to be endogenous in humans, highlybiocompatible and, therefore, desirable from a regulatory approvalstandpoint. Other biocompatible polymers are also useful in methods andformulations according to the present invention. For example,homopolymers and copolymers of lactic acid, glycolic acid, trimethylenecarbonate, hydroxybutyric acid, and p-dioxanone have all been found tobe particularly useful in various embodiments of the present invention.In particular, polydioxanone and polylactic-co-glycolic acids are wellestablished as being biocompatible and, accordingly, are also goodcandidates from a regulatory approval standpoint.

It is also sometimes preferred that one or more chains of thebiocompatible polymer can be capped at one end or both ends by either amonovalent, divalent, or polyvalent organic moiety (each valence of thecapping group being independently bonded to a chain) that does notcontain hydrogen atoms capable of hydrogen bonding, or by a monovalent,divalent, or polyvalent ionic group, or a group that does containhydrogen atoms capable of hydrogen bonding. The choice of end groups canmodify the performance of the polymer, either in the formulation orbiologically, and the preferred choice will depend on the particularintended application of the invention. One preferred polymer end cap isan acetyl group.

Also, it should be pointed out that the various preferred amounts,molecular weights, and ranges set forth below are given for generalguidance and are based primarily on poly-L-lactic acids, so this shouldbe taken into account when considering other polymers for use in thepresent invention. For example, polyglycolic acids typically hydrolyzemore quickly, exhibit higher degrees of crystallinity, and have highermelting points than polylactic acids. This should be taken into accountwhen considering such things as what polymer to use to achieve theparticular sustained release or formulation characteristics desired.Moreover, in the case of polylactic acids, the naturally occurring Lform is frequently preferred over the D or DL forms because it isendogenous in humans. However, due to the amorphous nature of the DLcompounds, there are applications where the DL compounds (i.e., mixturesof L and D isomers), are also sometimes preferred.

Low Polydispersity Compositions

A first aspect of the invention, which may or may not be used inconjunction with other aspects discussed below, relates to improving thephysical and degradation characteristics of biodegradable polymers. Asnoted above, conventional polymer compositions with the highly desirableproperty of relatively rapid biodegradation typically also exhibit poorphysical characteristics. They tend to be sticky, waxy, and generallyunable to maintain the physical integrity of articles formed therewith(e.g., microspheres anneal together, rods conform to their containershape, etc.). However, it has been found that, contrary to conventionalunderstanding, it is in fact possible to achieve the highly desirablecombination of relatively rapid biodegradation and good physicalcharacteristics with a relatively low molecular weight biodegradablepolymer. This surprising effect is accomplished by limiting thepolydispersity (i.e., the ratio of weight-average to number-averagemolecular weight) of the polymer to a relatively narrow range ascompared to the normally occurring distribution (i.e., the molecularweight distribution that occurs normally from the conventionalpolymerization methods). It is hypothesized that this unexpectedimprovement is the result of several factors: reducing the amount of theslowly degrading high molecular weight component of the polymer reducesthe polymer's overall biological half-life; while reducing the amount ofthe plasticizing low molecular weight component of the polymer raisesthe Tg of the material. Also, removal of the low molecular weightcomponent seems to “sharpen” the transition between the flowing andnon-flowing phases, i.e., it raises the Tg onset temperature (the pointwhere tackiness and flow begins to occur) closer to the mid-point Tg.Thus, by limiting the polydispersity of the biodegradable polymer, thedegradation characteristics can be improved without sacrificing, andperhaps improving, the physical characteristics of the composition. Forexample, by reducing the polydispersity of the polymer composition, agenerally hard, non-tacky, and relatively rapidly degrading material canbe produced. With this aspect of the present invention it is thuspossible to make relatively low molecular weight drug-containingmedicinal compositions that have both more rapid biodegradation andimproved handling characteristics. This has potential application invirtually any context where a relatively rapidly biodegrading polymer isdesired. For example, it can be used to make preformed drug-containingmicroparticles and implants. As discussed below, narrow polymerpolydispersity can also provide benefits when dissolved in an MDIformulation to provide controlled release, solubilization and/orchemical stabilization of a drug.

In order to provide rapid biodegradation and good physicalcharacteristics, the biodegradable polymer preferably has anumber-average molecular weight of no greater than about 1800, and morepreferably no greater than 1500 (and generally no less than about 700),and a polydispersity of less than about 1.3, more preferably less thanabout 1.2, and most preferably less than about 1.15. The biodegradablepolymer preferably comprises at least one chain of units of the formula—[O—R¹—C(O)]— wherein each R¹ is an independently selected organic groupthat links the oxygen atom to the carbonyl group. More preferably, thebiodegradable polymer is polylactic acid, polyglycolic acid, orpolylactic-co-glycolic acid; and most preferably, it is poly-L-lacticacid. Some examples of uses for such biodegradable polymers having arelatively narrow molecular weight distribution include preformeddrug-containing powders and particles (e.g., microspheres), such as usedin dry powder inhalation systems, nebulizers, injection formulations,topical sprays, and suspension type MDI aerosol formulations, as well assubcutaneous implants, drug-delivery dental packs, and otherdrug-delivery systems. Polymers having such a relatively narrowmolecular weight distribution can be prepared by any suitable means forlimiting polydispersity. One preferred technique is to use asupercritical fluid, such as carbon dioxide, to fractionate the polymer.This useful technique is applicable to the biocompatible polymersdescribed herein, as well as to other polymers in general.

Drug Solubilizing and/or Stabilizing

In another important aspect of the invention, biocompatible polymers aredissolved in medicinal formulations in order to help solubilize and/orchemically stabilize a drug. One preferred embodiment of this aspect ofthe invention is a medicinal formulation suitable for nasal and/or oralinhalation, such as from an MDI, that includes a propellant, abiocompatible condensation-type polymer, preferably comprising at leastone chain of units of the formula —[X—R¹—C(O)]— wherein: each R¹ is anindependently selected organic group that links the X group to thecarbonyl group; and each X is independently oxygen, sulfur, or catenarynitrogen, and a therapeutically effective amount of a drug substantiallycompletely dissolved in the formulation. Surprisingly, the biocompatiblepolymer, which is also substantially completely dissolved in theformulation, acts as a solubilizing aid and/or as a chemical stabilizingaid for many drugs. This is important because, as noted above, manydrugs are not sufficiently soluble in aerosol formulations or, ifsoluble, are chemically unstable in their dissolved form. Optionally, acosolvent may also be present, which may help solubilize either thedrug, the biocompatible polymer, or both. Other excipients may also beincluded.

It is also preferred in this aspect of the invention, although notrequired, that the biocompatible polymer have a relatively narrowmolecular weight distribution, i.e., polydispersity of less than about1.8, preferably less than about 1.4, and more preferably less than about1.2. This helps to prevent the inclusion of the larger polymers whichcould accumulate in the lung over time due to repeated dosing. It alsocan allow a greater amount of the polymer to be completely dissolved inan aerosol formulation, which may be particularly important when apolymer is being used as a drug solubilizing aid because such use canrequire substantial amounts of polymer to be dissolved (e.g., 1% or moreof the formulation by weight). For example, poly-L-lactic acid showsimproved solubility in hydrofluorocarbon (HFC) propellants when thepolydispersity is reduced.

Sustained Release

In another separate but related aspect of the invention, it has beenfound that medicinal formulations using the biocompatible polymers ofthe present invention are highly useful in providing sustained releaseof a drug to the body. Such formulations include a drug and a sufficientamount of biocompatible (preferably, biodegradable) polymer which whendelivered is associated with the drug (i.e., drug entrapped/encapsulatedin a polymer matrix or, described below, as a drug-polymer salt,) so asto provide for such sustained release of the drug as the polymerdegrades and the drug is released. This is useful in many drug deliverycontexts, such as solid and semi-solid implants and microspheres, aswell as for liquid injection formulations and topical sprays. However,it is particularly useful and surprising in the context of medicinalaerosol formulations, such as for oral and/or nasal inhalation from ametered dose inhaler

Such sustained release aerosol formulations include drug and asufficient amount of biocompatible polymer dissolved in a propellant toprovide sustained release of the drug when inhaled, and may also includea cosolvent and other excipients. The drug may be in the form of amicronized suspension or substantially completely dissolved in theformulation. The biocompatible polymer preferably comprises at least onechain of units containing amide and/or ester groups. Preferably, thebiocompatible polymer comprises at least one chain of units of theformula —[X—R¹—C(O)]— wherein: each R¹ is an independently selectedorganic group that links the X group to the carbonyl group; and each Xis independently oxygen, sulfur, or catenary nitrogen.

It is particularly surprising to discover that when such biocompatible(preferably biodegradable) polymers are substantially completelydissolved in sufficient quantities relative to the drug in, for example,medicinal aerosol formulations, and administered to the body the drug isreleased in a highly desirable sustained manner over a period ranging,for example, from about 30 minutes to a day or more. The time period forrelease of the drug depends upon many factors including, for example,the amount, type, and molecular weight of the biocompatible polymerused, and the chemical and physical nature of the drug. The amount ofpolymer that will be sufficient to provide a desired sustained releaseprofile may be determined on a case-by-case basis with littledifficulty. In many situations, the polymer will comprise at least about1% of the formulation to provide suitable sustained release, althoughthis will depend on the polymer used and the amount, type and physicaland chemical form of the drug. The polymer will generally be present inan amount of at least four times, and often 10 to 100 times, the amountof the drug on a weight to weight basis. In the case of suspensionaerosol formulations, where the drug is present as micronized particles,the amount of biocompatible polymer necessary to provide sustainedrelease is generally substantially more than that which would normallybe used as a dispersing aid in, for example, the context of U.S. Pat.No. 5,569,450.

Moreover, although it may be preferred to use biocompatible polymershaving, as described above, a relatively narrow molecular weight range(i.e., with a polydispersity of less than about 1.8 and preferably lessthan about 1.4, and most preferably less than about 1.2), it is notrequired according to all aspects of the invention, particularly in thesustained release formulations. For example, when poly-L-lactic acids ofnormal polydispersity are used in a formulation for pulmonary delivery,it is preferred that the number-average molecular weight of the polymerbe no greater than about 800, and more preferably no greater than about600. Otherwise, depending upon the frequency of administration, thehigher molecular weight component present can accumulate in the lung.Additionally, normal polydispersity poly-L-lactic acids with molecularweights greater than about 800 may exhibit partial insolubility(depending on the weight percentage, propellant used, and the presenceof co-solvents or other excipients) of the highest molecular weightfraction of the polymer. However, when poly-DL-lactic acids are used,such limitations are not generally encountered. When narrow molecularweight range poly-L-lactic acids (i.e., those having a polydispersity ofless than about 1.8 and preferably less than about 1.4, and mostpreferably less than about 1.2) are used, however, the number-averagemolecular weight is preferably no greater than about 1300, and morepreferably, for most applications, no greater than about 1000. Forpoly-DL-lactic acid, although solubility is generally not a problem, itis nonetheless desirable to use the lower polydispersity polymer due tothe more rapid degradation. The molecular weight and polydispersity canbe relatively higher in cases where frequent dosing or rapidbioabsorption are less important (e.g., vaccine or nasal delivery). Oneskilled in the art will recognize that these parameters will vary witheach monomer type used. The choice of polymer used will also be based onthe ability of the polymer, when delivered, to incorporate the drug intoa matrix or as a salt (discussed below) and release it in a controlledmanner. This depends on such factors as the polymer molecular weight,polydispersity, tendency toward crystallization, and specificfunctionality, as well as the nature of the drug and the form it is in(e.g. dissolved or suspended).

Thus, one can adjust the system according to the particular requirementsof the delivery system. For example, where it is desired to provide atherapeutic drug inhalation system requiring only a single dose per day,the biocompatible polymer amount, average molecular weight,polydispersity, and other factors will preferably be selected so thatthe drug is controllably released, and substantially all of the polymerbiodegraded (such that the polymer matrix material is substantiallyundetectable at the delivery site), over about a 24 hour period, and insome cases preferably over about a 12 hour period. This can typically beaccomplished using, for example, poly-L-lactic acid having an averagemolecular weight of about 1000 and a polydispersity of about 1.2,although these and other various factors, such as the amount of polymerused, and selection of co-monomers (e.g., use of L and D isomers,glycolic acid, etc.), can be adjusted as required for a particularsituation.

Also, significantly, the medicinal aerosol formulations described hereindo not tend to form films, the presence of which would be highlyundesirable in the pulmonary tract. Rather, they form discrete particlesspontaneously upon the formulation exiting the aerosol canister valve(for example, from a metered dose inhaler). This aspect of the inventionis important both in the context of providing sustained releasemicroparticles, and for providing inhalable microparticles which are notfor sustained release. Thus, there is also provided a simple method offorming discrete particles of a medicinal aerosol formulation, which isbroadly applicable, cost effective, and, when a suitable propellant isused, environmentally friendly. The method includes the following steps:preparing a medicinal formulation by combining components comprising apropellant, a biocompatible polymer substantially completely dissolvedin the formulation, a therapeutically effective amount of a drug(preferably, substantially completely dissolved in the formulation), andoptionally with a cosolvent and/or other excipient; placing themedicinal formulation in a device capable of generating an aerosol(preferably, an aerosol canister equipped with a valve, and morepreferably, a metered dose valve); and actuating the device to form anaerosol of discrete particles that are sufficiently stable to avoidaggregation and film formation under conditions of use (e.g., uponinhalation, upon topical application to a wound, etc.).

Medicinal Salts

It has also been observed that certain biocompatible polymers, such as,for example, low molecular weight poly-α-hydroxycarboxylic acids (PHAs),can form salts with many drugs. Such low molecular weight biodegradablepolymers, in their salt form with a drug, can provide sustained releaseof the drug, aid solubilization of the drug, and chemically stabilizethe drug, without requiring the presence of additional releasecontrolling matrix materials. Thus, another embodiment of the inventionis a medicinal salt of a drug and a low molecular weight biodegradablepolymer. The salt comprises: an ionic drug comprising at least oneammonium, sulfonate, or carboxylate group per molecule (preferably,ammonium group); and a biodegradable polymeric counterion comprising atleast one ammonium, sulfonate, or carboxylate group (preferably,carboxylate group) and at least one chain of at least three units of theformula —[O—R¹—C(O)]— wherein each R¹ is an independently selectedorganic moiety that links the oxygen atom to the carbonyl group.Preferably, the hydroxyl end of the non-branched chain is esterified.The salt can be used to advantage in various medicinal formulations,whether they be solid, semi-solid, or liquid formulations. Preferredformulations include medicinal aerosol formulations suitable for oraland/or nasal inhalation, such as MDIs.

Such use of a biocompatible low molecular weight polymeric counterion ina medicinal salt of a drug can in many cases provide advantages over theuse of a polymeric matrix in a nonionic form. For example, the presenceof a biocompatible polymer and the formation of such salts can providesignificant improvement in chemical stability over the same formulationwithout a salt-forming biocompatible polymer.

It can thus be seen from the above that the present invention providesmethods, compounds, and medicinal formulations that represent a dramaticadvance in providing for enhanced solubilization and chemicalstabilization of a drug, as well as providing sustained release ofdrugs. This is particularly important in the field of aerosol drugdelivery, such as for inhalation. The biocompatible polymers describedabove, particularly the biodegradable polyesters andpolyhydroxycarboxylic acids, can be used either as a drug containingmatrix or counterion in solid, semi-solid, or liquid formulations.Additional aspects and specific features of the invention will also beapparent by way of the following detailed description and nonlimitingexamples of the invention.

DETAILED DESCRIPTION

The present invention provides medicinal formulations containing a drugand a biocompatible polymer. They can be solids, semi-solids, orliquids. Preferred formulations are delivered by oral and/or nasalinhalation, although formulations can also be made for delivery via, forexample, topical spray-on administration (e.g., buccal, transdermal).Additionally, compositions (e.g., those made with low polydispersityand/or medicinal salt biocompatible polymers) capable of forming stablepreformed solid objects, such as dry powders, microspheres, rods, pins,etc., can be made for delivery by injection, implantation or othersuitable methods, as well as oral and/or nasal inhalation.

As discussed below, the medicinal formulations may be made with avariety of drugs, biocompatible polymers, propellants, cosolvents, andother ingredients. Among the benefits provided by the invention, thebiocompatible polymer may have enhanced physical and biodegradationproperties due to low polydispersity, function as a solubilizing and/orchemical stabilizing aid, provide sustained release, and/or act as acounterion to form a medicinal salt.

Drugs

Medicinal formulations according to the present invention contain a drugeither dispersed or dissolved in the formulation in a therapeuticallyeffective amount (i.e., an amount suitable for the desired condition,route, and mode of administration). As used herein, the term “drug,”includes its equivalents, “bioactive agent,” and “medicament” and isintended to have its broadest meaning as including substances intendedfor use in the diagnosis, cure, mitigation, treatment or prevention ofdisease, or to affect the structure or function of the body. The drugscan be neutral or ionic. Preferably, they are suitable for oral and/ornasal inhalation. Delivery to the respiratory tract and/or lung, inorder to effect bronchodilation and to treat conditions such as asthmaand chronic obstructive pulmonary disease, is preferably by oralinhalation. Alternatively, to treat conditions such as rhinitis orallergic rhinitis, delivery is preferably by nasal inhalation.

Suitable drugs include, for example, antiallergics, analgesics,bronchodilators, antihistamines, antiviral agents, antitussives, anginalpreparations, antibiotics, antiinflammatories, immunomodulators,5-lipoxygenase inhibitors, leukotriene antagonists, phospholipase A₂inhibitors, phosphodiesterase IV inhibitors, peptides, proteins,steroids, and vaccine preparations. A group of preferred drugs includeadrenaline, albuterol, atropine, beclomethasone dipropionate,budesonide, butixocort propionate, clemastine, cromolyn, epinephrine,ephedrine, fentanyl, flunisolide, fluticasone, formoterol, ipratropiumbromide, isoproterenol, lidocaine, morphine, nedocromil, pentamidineisoethionate, pirbuterol, prednisolone, salmeterol, terbutaline,tetracycline, 4-amino-α,α,2-trimethyl-1H-imidazo[4,5-c]quinoline-1-ethanol,2,5-diethyl-10-oxo-1,2,4-triazolo[1,5-c]pyrimido[5,4-b][1,4]thiazine,1-(1-ethylpropyl)-1-hydroxy-3-phenylurea and pharmaceutically acceptablesalts and solvates thereof, and mixtures thereof Particularly preferreddrugs include beclomethasone dipropionate, butixocort propionate,pirbuterol,4-amino-α,α,2-trimethyl-1H-imidazo[4,5-c]quinoline-1-ethanol,2,5-diethyl-10-oxo-1,2,4-triazolo[1,5-c]pyrimido[5,4-b][1,4]thiazine,1-(1-ethylpropyl)-1-hydroxy-3-phenylurea, and pharmaceuticallyacceptable salts and solvates thereof, and mixtures thereof.

For oral and/or nasal inhalation, formulations where the drug is insolution and chemically stable are generally preferred; however, ifsuspensions are used, preferably the drug is micronized (i.e., in theform of particles having a diameter on the order of micrometers). Morepreferably, a therapeutically effective fraction of the drug (typically,about 90% or more) is in the form of particles having a diameter of lessthan about 10 micrometers, and most preferably, less than about 5micrometers. These particle sizes also apply for the formulations (drugand biocompatible polymer) used in dry powder inhalers. This ensuresthat the drug can be inhaled into the respiratory tract and/or lungs. Itwill be recognized that such limitations do not necessarily exist fornasal inhalation.

Preferably, medicinal formulations according to the present inventioninclude a drug in an amount and in a form such that the drug can beadministered as an aerosol. More preferably, the drug is present in anamount such that the drug can produce its desired therapeutic effectwith one dose from a conventional aerosol canister with a conventionalvalve, such as a metered dose valve. As used herein, an “amount” of thedrug can be referred to in terms of quantity or concentration. Atherapeutically effective amount of a drug can vary according to avariety of factors, such as the potency of the particular drug, theroute of administration of the formulation, the mode of administrationof the formulation, and the mechanical system used to administer theformulation. A therapeutically effective amount of a particular drug canbe selected by those of ordinary skill in the art with consideration ofsuch factors. Generally, a therapeutically effective amount will be fromabout 0.02 parts to about 2 parts by weight based on 100 parts of themedicinal formulation.

Biocompatible Polymers

The preferred biocompatible polymers are condensation-type homopolymersor block or random copolymers. Examples of such polymers can be derivedfrom a hydroxyacid, a mercapto acid, an amino acid, or combinationsthereof, such as disclosed in U.S. Pat. No. 5,569,450 (Duan et al.).Other examples of such polymers can be derived from the condensation ofa diol with a diacid, such as disclosed in international publication no.WO 94/21228. Preferably, the repeating structural units contain amideunits, ester units, or mixtures thereof.

One class of preferred condensation polymers includes at least one chainof at least three units of the formula —[X—R¹—C(O)]— (Formula I)wherein: each R¹ is an independently selected organic group (which canbe linear, branched, or cyclic) that links the X group to the carbonylgroup; and each X is independently oxygen, sulfur, or catenary nitrogen.Preferably X is oxygen. In particularly preferred embodiments, at least50% of said units include oxygen as X. Another class of preferredcondensation polymers include at least one chain of at least three unitsof the formula —[C(O)—R²—C(O)—O—R³—O]— (Formula II) wherein: each R² isan independently selected organic group (which can be linear, branched,or cyclic) that links the carbonyl groups and each R³ is anindependently selected organic group (which can be linear, branched, orcyclic) that links the oxy groups.

In Formulas I and II above, preferably, each R¹, R², and R³ is astraight chain, branched chain, or cyclic organic group (preferably, analkylene or alkenylene group) containing 1-6 carbon atoms (preferably,2-6 carbon atoms). Each R¹, R², and R³ can also contain heteroatomicfunctional groups such as carbonyl groups, oxygen atoms, thiol groups,or fully substituted catenary nitrogen atoms, wherein the nitrogensubstituents are free of nucleophilic or hydrogen-donor hydrogen bondingfunctional groups. R¹ preferably contains about 1-4 catenary atoms. EachR¹, R², and R³ can also be an arylene group (e.g., 1,4-phenylene) or anarylene group substituted by functional groups such as lower alkylgroups, lower alkoxy groups, and halogens (preferably, by functionalgroups that do not contain hydrogen atoms capable of hydrogen bonding,such as lower alkyl or alkoxy groups). As used herein, the term “lower”when used in connection with alkyl, alkenyl, alkoxy, alkenylene,alkylene groups, etc., refers to such groups having 1-4 carbon atoms.Each R¹, R², and/or R³ can also be a combination of such arylene,alkenylene, and alkylene groups, such as 1,4-xylylene.

The chain(s) comprising the units of Formulas I or II can be linear,branched, or cyclic. Such polymers (i.e., those containing chains ofunits of Formulas I or II) can also optionally include one or more ionicgroups, a group that contains one or more hydrogen atoms capable ofhydrogen bonding, or a group containing no hydrogen atoms capable ofhydrogen bonding.

For the compounds containing at least one chain comprising units ofFormula I, the chain(s) comprise units derived from a precursorhydroxyacid, a precursor amino acid, a precursor mercapto acid, orcombinations thereof, such as those disclosed in U.S. Pat. No. 5,569,450(Duan et al.). For the compounds containing at least one chaincomprising units of Formula II, the chain(s) comprise units derived froma precursor diacid and a precursor diol. The chains can be homopolymerchains (i.e., those derived from a single such diacid and diol) orcopolymer chains (e.g., chains containing randomly distributed units orblocks of units derived from any two or more such diacids or diols). Asused herein, a chain “derived from” a particular precursor need not beprepared from the precursor; rather, this terminology is used todesignate chains having a structure that could formally be obtained bycondensation of the precursor. For example, the units of Formula II aretypically referred to as diol/diacid condensate units, although theseneed not be prepared by the condensation of a diol with a diacid.Rather, this terminology is used to designate chains having a structurethat could in principle be obtained by a condensation reaction of adiacid with a diol.

A precursor hydroxyacid can be any hydroxyacid, such as a hydroxycarboxylic acid, or the corresponding lactone or cyclic carbonate, ifany. It is preferred that the hydroxyacid be endogenous to the humanbody. Examples of suitable hydroxycarboxylic acids include straightchain (C₂-C₆)hydroxyalkyl carboxylic acids such as hydroxyacetic acid,hydroxypropionic acids (e.g., 2- or 3-hydroxypropionic acid),hydroxybutyric acids (e.g., 2-, 3-, or 4-hydroxybutyric acid),hydroxyvaleric acids (e.g., 2-, 3-, 4-, or 5-hydroxyvaleric acid),hydroxycaproic acid (e.g., 2-, 3-, 4-, 5-, or 6-hydroxycaproic acid),branched chain (C₃-C₆)hydroxyalkyl carboxylic acids (e.g.,2-hydroxydimethylacetic acid), malic acid, malic acid monoesters, andthe like. Preferably, the hydroxyacid is an alpha- or a beta-hydroxycarboxylic acid, and more preferably, an alpha-hydroxy carboxylic acid.Suitable lactones include lactides, 1,4-dioxanone (i.e., p-dioxanone),valerolactone, and caprolactone. Suitable cyclic carbonates includetrimethylene carbonate.

A precursor amino acid can be any compound having an amino group,preferably, a secondary amino group, at least one carbon atom removedfrom an acid group such as a carboxylic acid. Exemplary amino acidsinclude secondary amino acids (sometimes referred to as “imino acids”)such as sarcosine and proline. As with the hydroxyacids discussed above,it is preferred that the aminocarboxylic acid be endogenous to the humanbody.

A precursor mercapto acid can be any compound comprising a thiol groupand an acid group such as a carboxylic acid group. Exemplary mercaptoacids include 2-mercaptopropionic acid, 3-mercaptopropionic acid, andmercaptoacetic acid.

A precursor diacid can be any dicarboxylic acid, e.g., straight chain,branched chain, or cyclic alkylene or alkenylene dicarboxylic acidswherein the alkylene or alkenylene moiety optionally containsheteroatomic functional groups such as carbonyl groups, oxygen atoms,thiol groups, or catenary nitrogen (preferably, fully substituted).Examples of such dicarboxylic acids include oxalic acid, malonic acid,succinic acid, pentane-, hexane-, and heptane-dioic acids, and cis- ortrans-1,2-cyclohexanedicarboxylic acid. Other precursor diacids includearomatic diacids. Examples of such aromatic diacids include phthalicacid, 1,4-benzenedicarboxylic acid, isophthalic acid,2,3-furandicarboxylic acid, 1,2-benzenediacetic acid, and the like.Preferred diacids are oxalic and diglycolic acids. The anhydridescorresponding to a dicarboxylic acid are also suitable. Examples of suchanhydrides include succinic anhydride, diglycolic anhydride, and thelike.

A precursor diol can be any dihydridic alcohol. Suitable precursor diolsinclude straight chain, branched chain, or cyclic alkylene or alkenylenediols optionally containing heteroatomic functional groups such ascarbonyl groups, oxygen atoms, thiol groups, or catenary nitrogen(preferably, fully substituted). Examples of such diols include ethyleneor propylene glycol, 1,4-butanediol, 1,6-hexanediol, and the like. Otherprecursor diols include polyoxyalkylene diols. Examples of such diolsinclude polyethylene glycol, polypropylene glycol, and block copolymerscomprising polyoxyethylene units and polyoxypropylene units.

Particularly preferred embodiments include polymers wherein the chaincomprises units derived from a precursor hydroxyacid (preferably, analpha- or a beta-hydroxyacid, and more preferably, analpha-hydroxyacid). More preferably, the chain comprises units derivedfrom a precursor selected from the group consisting of glycolic acid,trimethylene carbonate, alpha- or beta-hydroxybutyric acid, p-dioxanone,and lactic acid. Of these, lactic acid is particularly preferred,whether in the D isomeric form, the L isomeric form, or a mixture ofboth isomers. Of these, the L form is the most preferred, though incertain applications, the DL form has some advantages due to itsamorphous nature and enhanced solubility in, for example,hydrofluorocarbon propellants such as HFC 134a and 227.

One skilled in the art can select units for inclusion in the chains ofthe biocompatible polymers with consideration of factors, such as modeof administration, ease of metabolism, solubility or dispersibility,crystallinity, structural homogeneity, molecular weight, othercomponents to be used in the medicinal formulations, etc.

Preferred biocompatible polymers as described herein contain at leastone chain of units of Formula I. In certain embodiments, the compoundcan include two or more chains arranged, for example, in connection withdivalent and polyvalent capping groups or by inclusion of monomers whichcause branching.

A chain can be capped at one end or both ends by a monovalent, divalent,or polyvalent organic moiety (each valence of the capping group beingindependently bonded to a chain) that does not contain hydrogen atomscapable of hydrogen bonding. The chain can also be capped at one end orboth ends by a monovalent, divalent, or polyvalent group, either anionic group or a group that does contain hydrogen atoms capable ofhydrogen bonding. Such groups need not necessarily terminate thecompound; rather, they can bridge chains. Examples of groups notcontaining hydrogen atoms capable of hydrogen bonding includeorganocarbonyl groups such as acetyl and alkoxy groups such as ethoxy.Examples of ionic groups include quaternary ammonium groups, sulfonatesalts, carboxylate salts, and the like. Examples of groups capable ofhydrogen bonding include hydrogen when bonded to a heteroatom terminusof a chain, as well as acid functional groups, amides, carbamates, andgroups such as amino, hydroxyl, thiol, aminoalkyl, alkylamino,hydroxyalkyl, hydroxyalkylamino, sugar residues, and the like. Such endgroups are well known and can be readily selected by those skilled inthe art, and are disclosed, for example, in U.S. Pat. No. 5,569,450 andinternational publication no. WO 94/21228.

The choice of end groups (i.e., capping groups) may modify theperformance of the polymer, either in the formulation or biologically.It is preferred for regulatory and biological reasons to minimize thecomplexity of the biocompatible polymer. However, for physical andchemical reasons it may be preferable to modify the biocompatiblepolymer with respect to increased stability, propellant solubility(e.g., in hydrofluorocarbons), water affinity/solubility, interactionwith the drug, etc. Such parameters frequently influence drug releaserates. Preferred biocompatible polymers as described herein contain onechain capped on the hydroxy end with an organocarbonyl group, and morepreferably, with an acetyl group. Acylation can significantly enhancestability and reduce the hydrophilicity and water solubility of thebiocompatible polymers. Additionally, preferred biocompatible polymersas described herein contain one chain capped on the carbonyl end with ahydroxyl group or with an alkoxy group, such as an ethoxy group.Esterification can enhance biocompatibility and reduce thehydrophilicity and water solubility of the polymers.

Preferably, biocompatible polymers described herein are alsobiodegradable. As used herein, a “biocompatible” polymer is one thatdoes not generally cause significant adverse reactions (e.g., toxic orantigenic responses) in the body, whether it degrades within the body,remains for extended periods of time, or is excreted whole. A“biodegradable” polymer is one that relatively easily degrades underbiological conditions. Typically, biodegradation occurs initially by wayof hydrolytic degradation (i.e., hydrolysis of the polymers into smallermolecules).

Biocompatible polymers described herein can have a wide variety ofmolecular weights. Typically, they should have a number-averagemolecular weight of no greater than about 5000 (e.g., where n is about70) because polymers having a number-average molecular weight muchhigher than this generally are not readily biodegradable. Depending onthe particular embodiment and purpose(s) of the biocompatible polymerused therein, the polymers described herein will preferably have anumber-average molecular weight of at least about 350, and morepreferably, at least about 500, and most preferably greater than about600. Put in another way, the biocompatible polymers will usually have apreferred chain length of at least 5, and more preferably at least 8units.

For most embodiments of the polymers containing chain(s) comprisingunits of Formulas I or II, the chain length (i.e., the average number ofmonomer units in the chain, often referred to as “n”) is defined by nogreater than about 70 of said units, preferably, by no greater thanabout 25 of said units, more preferably, by no greater than about 16 ofsaid units, and most preferably, by no greater than about 11 of saidunits. Also, the chain length is defined by at least about 3 of saidunits, and preferably, by at least about 5 of said units. In someembodiments, it is preferable that the compound be substantially free ofwater soluble polymers so that, for example, the polymer does notquickly dissolve upon delivery to the body tissue, such as the lung, butrather degrades over a desired time period. Generally, the polymershaving less than 8 repeat units tend to be water soluble, while polymershaving 8 or more repeat units tend to be relatively insoluble, althoughthe precise chain length of course varies with the nature of the repeatunits and the nature of the chain end units.

These various preferred molecular weights and chain lengths are bynecessity only general guidelines since there are many factors, as willbe understood by those skilled in the art, such as the particularpolymer type, end-cap groups, and the presence and type of otheringredients (propellants, excipients, etc.), which can greatly affectthe choice of molecular weight used.

It is well known that polymers contain a distribution of chain lengths.A particularly preferred embodiment of the present invention has anarrow range of chain lengths, thereby providing a biocompatible polymerhaving a relatively narrow molecular weight distribution, i.e., lowpolydispersity. However, in certain embodiments a broad molecular weightdistribution may be desired. One skilled in the art will recognize whichdistribution is preferred for a given application based on the degree ofsolubility, bulk physical characteristics, biological compatibility anddegradation, formulation processability, and performance factors (e.g.,solubilizing ability, drug release rate control, shelf life, dosereproducibility, etc.) of the compound.

For certain embodiments of the present invention, suitable biocompatiblepolymers preferably have a relatively narrow molecular weightdistribution. Generally, for such embodiments, the polydispersity (i.e.,the ratio of weight-average to number-average molecular weight) is lessthan about 1.8, preferably less than about 1.6. This is particularlytrue for certain sustained release formulations utilizing highermolecular weight polymers. Preferably, the polydispersity is less thanabout 1.4, more preferably less than about 1.3 and, most preferably lessthan about 1.15. This is particularly true where improved physicalcharacteristics of the composition in solid form are desired or forenhanced solubility in, for example, an aerosol propellant. In contrast,the polydispersity of conventionally made poly-L-lactic acid having anumber-average molecular weight of about 1000 or more generally rangesfrom about 1.6 to 3 with a typical polydispersity greater than 2.2. Thisis significant because in certain applications a relatively narrowmolecular weight distribution provides a material that has an optimizedrate of biodegradation. In certain applications this results in anappropriate rate of drug release and improved shelf-life and handlingcharacteristics in its bulk form.

Although it may be preferred to use polymers (described below) having arelatively narrow molecular weight range, it is not required accordingto all aspects of the invention. For example, when poly-L-lactic acidsof normal polydispersity are used in a formulation for pulmonarydelivery, it is preferred that the number-average molecular weight ofthe polymer be no greater than about 800. Otherwise, depending upon thefrequency of administration, the higher molecular weight componentpresent can accumulate in the lung. When narrow molecular weight rangepoly-L-lactic acids (i.e., those having a polydispersity of less thanabout 1.15) are used, however, the preferred number-average molecularweight is preferably no greater than about 1300, and more preferably,for most inhalation applications, no greater than about 1000. Oneskilled in the art will recognize that these parameters will vary witheach monomer used. For example, when poly-DL-lactic acids of normalpolydispersity are used in a formulation for pulmonary delivery, it ispreferred that the number-average molecular weight of the polymer be nogreater than about 1800, and more preferably no greater than about 1200.Otherwise, depending upon the frequency of administration, the highermolecular weight component present can accumulate in the lung. Whennarrow molecular weight range poly-DL-lactic acids (i.e., those having apolydispersity of less than about 1.15) are used, however, the preferrednumber-average molecular weight is preferably no greater than about2000, and more preferably, for most applications, no greater than about1600. In general, it is desirable to use the lowest molecular weightbiocompatible polymer that still provides adequate incorporation of thedrug into the polymer matrix upon delivery, along with the desiredrelease rates.

As already noted, it is generally preferred that the biocompatiblepolymers of the present invention are biodegradable. Preferably, suchpolymers are sufficiently biodegradable such that they have a biologicalhalf-life (e.g., in the lung) of less than about 10 days, morepreferably, less than about 4 days, even more preferably, less thanabout 2 days, and most preferably, less than about 1 day. For certainembodiments of the present invention, biocompatible polymers aresufficiently biodegradable in use such that medicinal formulationscontaining them have a biological half-life of less than about 7 days.Preferably, for embodiments, such as those formulations capable of beinginhaled, the biological half-life is less than about 2 days (morepreferably, less than about 1 day, even more preferably, less than about12 hours, and most preferably, less than about 6 hours). As used herein,“biological half-life” is the time required for half the mass of thematerial to disappear from the original site in vivo.

For certain embodiments of the present invention, the biocompatiblepolymer has a glass transition temperature (Tg) such that the glasstransition temperature of a composition that includes the biocompatiblepolymer, a drug, and additional optional excipients, is above about 23°C. That is, the Tg of the biocompatible (preferably, biodegradable)compound itself may be above or below about 23° C., as long as that of amixture of the biocompatible polymer with a drug and optional excipientsis above about 23° C. Preferably, and advantageously, this Tg can bereached without the aid of additional excipients in the polymer.Typically, such preferred biocompatible polymers are polymers having apolydispersity of less than about 1.15. Surprisingly, it has beendiscovered that when the biocompatible polymer is combined with a drug,the Tg of the mixture is typically greater than that of thebiocompatible polymer itself, which renders a broader range of polymersin the medicinal formulation to be generally morphologically shelfstable. Generally, the Tg of the biocompatible polymer is such that theTg of a composition that includes the biocompatible polymer, a drug, andoptional excipients, is below about 100°0 C., although it is often muchless than this.

Thus, certain preferred biocompatible polymers described herein can becombined with a drug to form a rapidly degrading, morphologically shelfstable polymeric matrix, which can be in the form of a dispersion, ordry powder, for example. Such biocompatible polymers are preferablyhomo-polymers having linear chains of units derived from analpha-hydroxy carboxylic acid, such as L-lactic acid, and preferablyhave a number-average molecular weight of greater than 700 and nogreater than about 1500, and more preferably no greater than about 1200,and a polydispersity of less than about 1.15. Put another way, thepreferred average chain length (n) of the polymer is about 10-16 units.

The optimal amount of the biocompatible polymer depends on its nature,what role it serves within the formulation, and the nature of the drugwith which it is used. A practical upper limit in aerosol formulationsis based on the solubility of the polymer. The solubility levels ofindividual biocompatible polymers are a function of the molecular weightand polydispersity of the polymer, as well as the chemical nature of therepeating units and endgroups. In general, the solubilities of thepolyhydroxycarboxylic acids (for a given molecular weight) increase astheir tendency toward crystallization decreases. For example,poly-DL-lactic acid is generally more soluble than poly-L-lactic acid.

For aerosol formulations, the biocompatible polymer is generally presentin dissolved form in an amount of from about 0.01 part to about 25 partsby weight based on 100 parts of the medicinal formulation, preferablyfrom about 0.1 part to about 10 parts by weight based on 100 parts ofthe medicinal formulation, and for some applications preferably fromabout 1 part to about 5 parts by weight based on 100 parts of themedicinal formulation.

Method to Produce Narrow Distribution Polymers

Polymers according to the present invention having a narrow molecularweight range (e.g., a polydispersity of less than about 1.3, andpreferably, less than about 1.15) can be prepared using a supercriticalfluid fractionation method. The solvent power of supercritical fluidscan be tuned by changing the supercritical fluid density (viapressure/temperature), hence either the quantity of solute or maximummolecular weight solubilized can be selected by adjusting thepressure/temperature conditions. This adjustability provides asubstantial benefit over normal liquid solvent fractionation.

Thus, the present invention provides a method of producing a polymericcompound having, for example, a number-average molecular weight of nogreater than about 1500, and a significantly reduced polydispersity(e.g., less than about 1.3 and, preferably, less than about 1.15). Themethod comprises sequentially exposing the polymeric compounds to a flowof supercritical fluid under different pressure/temperature conditions.The particular type of supercritical fluid apparatus used is not limitedas long as the biocompatible polymer has good contact with supercriticalfluid. Thus, for example, the fractionation may be enacted using asingle vessel with a increasing pressure profile techniques oralternatively, one may use a series of pressure vessels with adecreasing pressure profile techniques. The supercritical fluid ispreferably selected from the group consisting of carbon dioxide,1,1,1,2-tetrafluoroethane (also referred to as propellant 134a,HFC-134a, or HFA-134a), 1,1,1,2,3,3,3 -heptafluoropropane (also referredto as propellant 227, HFC-227, or HFA-227), nitrogen dioxide, ethylene,ethane, trifluoromethane, xenon, or blends of the above. While a widevariety of supercritical fluids are useful in the present invention, itis preferred that they be nonreactive with the biocompatible polymerbeing fractionated and nontoxic. More preferably, the supercriticalfluid is carbon dioxide.

This method of polymer fractionation using supercritical fluid providessignificant advantages. Besides the unexpected technical superiority, italso provides advantages over conventional solvent fractionation whichhas high costs, environmental disadvantages, and raises health concernsdue to residual contamination.

Drug Solubilization and Chemical Stabilization

It has been found that in certain aerosol formulations the drug is moresoluble when a biocompatible polymer as described herein is present thanwhen the biocompatible polymer is not present. Of course, this dependson a number of factors, such as the type and amount of drug as well asthe type and amount of biocompatible polymer. In some instances,solubility is enhanced by a relatively high concentration (e.g. greaterthan 1% by weight) of a relatively low molecular weight biocompatiblepolymer (e.g., number average MW less than about 350). Alternatively, alow to moderate concentration (e.g., 0.01 to 1% by weight) of a highermolecular weight (e.g., number average MW greater than about 600)biocompatible polymer can increase the solubility of some drugs. Also,it has been found that in certain formulations, dissolved drug ischemically more stable (and thus has a longer shelf life) with abiocompatible polymer as described herein than when in a formulationwithout such biocompatible polymer. For example, aerosol solutionformulations of drugs containing amine groups are known to often have arelatively short shelf life; however, when combined with a suitablebiocompatible polymer (e.g., one that is capable of forming a salt withthe amine-containing drug dissolved in the formulation) the shelf lifemay be improved.

It should also be pointed out that the same biocompatible polymer mayaid in solubilizing a given drug if present in a relatively large amount(e.g., greater than about 1 part by weight based on 100 parts of themedicinal formulation), and yet function as a dispersing aid if presentin smaller amounts (e.g., less than about 0.1 part by weight based on100 parts of the medicinal formulation). In general, longer chainpolymers having a molecular weight of at least about 600 that stronglyinteract with the drug are good solubilizers at lower weight percentagesof the formulation, while shorter chain polymers having a molecularweight of less than about 350 typically function as solubilizers athigher weight percentages of the formulation. However, these are generaldescriptions only, as the specific parameters vary with eachdrug/polymer combination.

For aerosol formulations wherein the biocompatible polymer is acting asa solubilizing and/or chemical stabilizing aid, the number-averagemolecular weight is preferably no greater than about 1500, morepreferably, no greater than about 1200, and most preferably, no greaterthan about 800.

Sustained Release Aerosol Formulations

One preferred embodiment of the present invention is a sustained releasemedicinal aerosol formulation including a propellant, a drug, and asoluble biocompatible polymer. Such medicinal formulations arepreferably suitable for nasal and/or oral inhalation. By this it ismeant, among other things, that when delivered from a metered doseinhaler they form particles of a size appropriate for nasal and/or oralinhalation and do not typically form films. These particles are formedspontaneously as the formulation exits the aerosol valve and thepropellant evaporates. Hence, although the biocompatible polymersdescribed herein may be used to make preformed sustained releasemicroparticles (e.g., microspheres) by conventional means, the presentinvention also provides a method for automatically generating sustainedrelease microparticles from an aerosol spontaneously upon valveactuation, without requiring any preformed microparticles. That is, themethod includes the steps of: preparing a sustained release medicinalaerosol formulation by combining components comprising a propellant, anda sufficient amount of a biocompatible polymer substantially completelysoluble in the medicinal formulation to provide for sustained drugrelease, and a drug as a micronized suspension or substantiallycompletely dissolved in the medicinal formulation in a therapeuticallyeffective amount; placing the medicinal formulation in a device capableof generating an aerosol (preferably, an aerosol canister equipped witha valve, and more preferably, an aerosol canister equipped with ametered dose valve); and actuating the device to form an aerosolcomprising particles that are sufficiently stable to avoid aggregationand film formation under conditions of use.

A sustained release formulation is one that releases the drug over anextended period of time (e.g., as short as about 60 minutes or as longas several hours and even several days or months), rather thansubstantially instantaneously upon administration. Typically, for apolymer matrix of a particular size, the sustained releasecharacteristics are determined by the nature of the biocompatiblepolymer and of the drug. Also, it is determined by the relative amountof biocompatible polymer to drug.

A sustained release medicinal formulation includes a biocompatiblepolymer in an amount such that the period of therapeutic activity of thedrug is increased relative to the activity of the same formulation withrespect to the propellant and drug but without the biocompatiblepolymer. Preferably, this increase is by a factor of at least about 1.5.Alternatively, for certain embodiments, it is preferred that thesustained release medicinal formulation includes a biocompatible polymerin an amount such that the period of therapeutic activity of the drug isextended by the presence of the biocompatible polymer by at least about30 minutes, and more preferably, by at least about 2 hours, and mostpreferably, by at least about 6 hours. When used in aerosolformulations, it will be understood by one of skill in the art that adirect comparison of the same formulation without the biocompatiblepolymer may not be possible due to formulation difficulties when thebiocompatible polymer is absent. Thus, a conventional dispersant and/orcosolvent may need to be added to the medicinal formulation to providean inhalable formulation for comparison of the period of time duringwhich the drug is present at levels needed to obtain a desiredbiological response. However, such formulation changes may prevent aperfectly parallel comparison of the release rates.

The amount of biocompatible polymer (total mass relative to drug) thatwill be sufficient to provide sustained release over a desired period oftime depends, among other things, on the form of the drug. In the caseof aerosol formulations containing the drug in micronized particle form(i.e., dispersed in the formulation), the amount of biocompatiblepolymer (preferably, biodegradable polymer) that will generally besufficient is at least enough to provide a substantially complete layeror coating around the micronized particles after exiting the aerosolvalve. This amount is typically considerably greater than the amountthat is used when such polymers are used solely as dispersing aids. Itis typically at least about a 1:1 molar ratio of biocompatible polymerto drug. Preferably, the molar ratio of biocompatible polymer to drug isgreater than about 4:1 on a molar basis. Alternatively, on a weightbasis there will be typically at least about a 1:1 ratio ofbiocompatible polymer to drug. Preferably, on a weight basis there willtypically be at least about a 4:1 ratio, and more preferably at leastabout an 8:1 ratio of biocompatible polymer to drug.

In the case of aerosol formulations containing the drug in solution(i.e., substantially completely dissolved in the formulation), theamount of biocompatible polymer (preferably, biodegradable polymer)sufficient to provide sustained release varies considerably. In general,at least about a 1:1 molar ratio of biocompatible polymer to drug isdesirable, although lesser amounts may be used to provide partialsustained release (e.g., bi-phasic release, etc.) and/or as asolubilization aid for the drug. Alternatively, on a weight to weightbasis, the ratio of polymer to drug is generally between about 1:1 andabout 100:1. Preferably, the amount of biocompatible polymer forsustained release of a drug in dissolved form is typically between about2:1 to about 30:1 weight ratio of biocompatible polymer to drug, andmore preferably, about 4:1 to about 15:1 on a weight basis. Again,however, the desired amount can depend on many factors, including thedesired release times, nature of the drug or agents involved, the natureand number of biocompatible polymers used, as well as the averagemolecular weight(s) of the biocompatible polymer(s) and theirpolydispersities. In general, larger weight ratios of polymer to drugwill lead to slower drug release rates. Those skilled in the art will bereadily able, based on the teachings herein, to incorporate and assessthe various factors to suit a particular application of the invention.

For sustained release aerosol formulations, the number-average molecularweight is generally no greater than about 5000, typically no greaterthan about 1800, preferably, no greater than about 1200, and morepreferably, no greater than about 800. Also, it is generally preferredthat the molecular weight is greater than about 600. Put another way,the average chain length (n) of the polymer is preferably less thanabout 25 units, more preferably between about 5-20 units, and mostpreferably between about 8-14 units. Also, it is generally preferred touse the lowest polydispersity which still provides the desired releaserate.

Medicinal Drug-Polymer Salts

Certain biodegradable polymers described herein can be combined with adrug to form a medicinal salt. Thus, medicinal salts are provided thatinclude an ionic drug that includes at least one carboxylate group,ammonium group, or sulfonate group per molecule and a biodegradablepolymer counterion that includes at least one ammonium or conjugate basederived from a carboxylic or sulfonic acid group (preferably, carboxylicacid group) and a chain of at least three units of the formula—[O—R¹—C(O)]— discussed above. Preferably, the ionic drug includes atleast one ammonium group and the biodegradable polymer counterionincludes at least one carboxylate group. Ammonium group refers to anyamine-derived ionic moiety (e.g., groups derived from primary,secondary, tertiary, and heterocyclic amines by protonation, as well asquaternary ammonium).

The molecular weights, polydispersity, and other characteristics of thebiocompatible polymers previously described herein also generally applyhere, where the biodegradable polymer acts as a counterion. Thepolydispersity and the molecular weight of the biodegradable polymercounterions are important variables in determining the profile of drugavailability over time. This is particularly true if mixtures or blendsof biodegradable polymer counterions having different molecular weightdistributions are used, thereby forming bimodal, trimodal, etc.,formulations. Preferably, the biodegradable polymers that form themedicinal salt are linear chains and have a number-average molecularweight of no greater than about 1500 (more preferably, about 500 toabout 1000). The preferred polydispersity and molecular weight will ofcourse vary with the desired drug release profile.

Most preferably, the biodegradable polymer used in forming the medicinalsalt is primarily derived from alpha-hydroxy carboxylic acids containingonly one carboxylate group. Additionally the polymer preferably isesterified on the hydroxy end with a low molecular weight acyl group.The salt-forming biodegradable polymer is preferably present in at leasta one-to-one molar ratio relative to the salt-forming drug, and morepreferably in at least one equivalent relative to the salt-forminggroups of the drug. Under certain circumstances it may be advantageousto include an excess of the biodegradable polymer. Additionally, it iswithin the scope of the present invention to include a lesser amount ofthe biodegradable polymer, particularly wherein the unbound drug hasdifferent pharmacokinetic behavior than the salt form.

The medicinal salts may be substantially soluble or substantiallyinsoluble in a propellant used in a aerosol medicinal formulation. Theymay also be used in non-aerosol formulations. Also, a medicinal salt canbe dispersed within a matrix comprising a second biocompatible polymer(preferably, a biodegradable compound), which preferably will have ahigher molecular weight than that of the biocompatible polymer formingthe salt with the drug. This dispersion can be either homogeneous, or itcan be heterogeneous such that discrete domains of the salt are formedwithin the matrix. Preferably, the second biocompatible polymer formingthe matrix is biodegradable, of the formula —[X—R¹—C(O)]— and has anumber-average molecular weight greater than about 1800. However,formulations having the drug and the salt-forming biodegradable polymerwith no additional biocompatible polymer matrix compounds are generallypreferred.

Propellants

Preferred medicinal formulations according to the present inventioninclude a propellant. Suitable propellants include, for example, achlorofluorocarbon (CFC), such as trichlorofluoromethane (also referredto as propellant 11), dichlorodifluoromethane (also referred to aspropellant 12), and 1,2-dichloro-1,1,2,2-tetrafluoroethane (alsoreferred to as propellant 114), a hydrochlorofluorocarbon, ahydrofluorocarbon (HFC), such as 1,1,1,2-tetrafluoroethane (alsoreferred to as propellant 134a, HFC-134a, or HFA-134a) and1,1,1,2,3,3,3-heptafluoropropane (also referred to as propellant 227,HFC-227, or HFA-227), carbon dioxide, dimethyl ether, butane, propane,or mixtures thereof. Preferably, the propellant includes achlorofluorocarbon, a hydrochlorofluorocarbon, a hydrofluorocarbon, ormixtures thereof. More preferably, a hydrofluorocarbon is used as thepropellant. Most preferably, HFC-227 and/or HFC-134a are used as thepropellant. The propellant is preferably present in an amount sufficientto propel a plurality of doses of the drug from an aerosol canister,preferably a metered dose inhaler.

Conventional aerosol canisters, such as those of aluminum, glass,stainless steel, or polyethylene terephthalate, can be used to containthe medicinal formulations according to the present invention. Aerosolcanisters equipped with conventional valves, preferably, metered dosevalves, can be used to deliver the formulations of the invention. Theselection of the appropriate valve assembly typically depends on thecomponents in the medicinal formulation.

Cosolvent and Other Additives

Medicinal formulations according to the present invention can include anoptional cosolvent or mixtures of cosolvents. The cosolvent can be usedin an amount effective to dissolve the drug and/or the biocompatiblepolymeric compound. Preferably, the cosolvent is used in an amount ofabout 0.01-25% by weight based on the total weight of the formulation).Nonlimiting examples of suitable cosolvents include ethanol,isopropanol, acetone, ethyl lactate, dimethyl ether, menthol,tetrahydrofuran, and ethyl acetate. Ethanol is a preferred cosolvent,although it is believed that in at least some circumstances ethanol maytend to degrade the polymer and, hence, isopropanol or a lessnucleophilic solvent may be preferred.

Other additives (i.e., excipients), such as lubricants, surfactants, andtaste masking ingredients, can also be included in medicinalformulations of the present invention.

EXPERIMENTAL EXAMPLES

The following experimental examples are provided to further illustratevarious specific and preferred embodiments and techniques of theinvention. It should be understood, however, that many variations andmodifications may be made while remaining within the scope of thepresent invention. All parts and percentages are by weight unlessotherwise indicated. All materials were used as obtained unlessotherwise indicated. Solvents and inorganic reagents were obtained fromEM Science, Gibbstown, N.J. Lactic acid and lactides were obtained fromPurac America Inc., Lincolnshire, Ill. All other reagents were obtainedfrom Aldrich Chemical Co., Milwaukee, Wis.

In the preparations of biocompatible polymers set forth below, thestructure and the average number (n) of repeating units in a chain weredetermined by ¹H nuclear magnetic resonance spectroscopy. Thenumber-average molecular weight Mn and the weight-average molecularweight Mw were determined using gel permeation chromatography (GPC) orsupercritical fluid chromatography (SFC). The GPC instrument used was aHewlett-Packard 1090-LUSI equipped with a UV detector set at 254 nm anda refractive index detector (HP 1037A). The column set comprised 500Angstrom columns from Jordi Associates, Bellingham, Mass. The sampleswere dissolved in tetrahydrofuran at an approximate concentration of 25mg solids/10 mL and pressure filtered through a 0.2 micron alphacellulose filter. An injection size of 150 μL was handled by aHewlett-Packard 9816 computer with software supplied by NelsonAnalytical, Cupertino, Calif. Molecular weight data are based on acalibration with polystyrene standards.

The SFC instrument used was a Dionex/Lee 602(Salt Lake City, Utah)equipped with a flame ionization detector at 425° C. The column was a 10meter, 25% cyanopropyl, 50 micron ID, 0.25 micron film from Dionex-LeeScientific Div., Salt Lake City, Utah. The samples were derivatized withdiazomethane, dissolved in chloroform at an approximate concentration of20 mg solids/1 mL and pressure filtered through a 0.2 micronpolyvinylidenefluoride (PVDF) filter. Direct injection of 200 μL took0.1 second. Conditions were isothermal (110° C.) using super criticalCO₂ as the carrier gas with a continuous ramp of 0.71 MPa/minute from8.1 MPa to 42 MPa. Molecular weight data are calculated from the area ofeach individual polymer. Individual polymers were identified bycomparison of retention times versus well-characterized nominallymonodisperse PLA samples.

Thermal properties (glass transition, melting, and degradation points;Tg, Tm, T_(deg)) were determined utilizing a modulated differentialscanning calorimeter (DSC) TA Instruments, New Castle, Del. A linearheating rate of 5° C./minute was applied, with a perturbation amplitudeof ±1° C. every 60 seconds. The samples were examined by applying acyclic heat-cool-heat profile ranging from −144.5° C. to 244.5° C. Theglass transition temperatures (Tg) reported were taken at the midpointin the change in heat capacity over the step transition, and wereevaluated using the reversing signal curve. Mass median aerodynamicdiameters of the aerosol were determined using a Quartz crystalmicrobalance (QCM) cascade impactor (model PE2AS/202/207; CaliforniaMeasurements Inc., Sierra Madre, Calif.) as described in PharmaceuticalResearch, 12, S-181, 1995.

Examples 1-21 Preparation of Biocompatible Polymers Example 1

L-lactide (200 grams; 1.39 moles) and water (150 mL; Millipore, Bedford,Mass.) were placed in a 1 L 3-neck flask equipped with a mechanicalstirrer, distillation head, and a thermometer. The reaction was warmedto 80° C. and stirred under nitrogen overnight. The flask was thenplaced under vacuum (7 mm Hg) and the temperature was raised to 140° C.to distill off water. After 10.5 hours the reaction was cooled to 80° C.and 600 mL of chloroform was added with stirring. The organic layer wasextracted twice with 200 mL of water in a separatory funnel and driedwith MgSO₄. The mixture was filtered through a “d” fritted glass funneland the solvent distilled from the polymer by rotary evaporation. Thepolymer was transferred to a clean 1000 mL 3-neck flask equipped asdescribed above and 200 mL acetic anhydride was added. The solution wasstirred at 80° C. overnight under a slow nitrogen purge. After 12 ormore hours the remaining acetic anhydride and acetic acid were removedunder vacuum. After the acetic acid/acetic anhydride distillation wascomplete, 180 mL of tetrahydrofuran/water (85/15; volume/volume) wasadded with stirring and the flask temperature was allowed to drop to 60°C. After 15 minutes the reaction mixture was transferred to a roundbottom flask and the tetrahydrofuran was removed under vacuum on arotary evaporator. Chloroform (600 mL) was added and the resultingsolution was extracted twice with millipore water (200 mL) in aseparatory funnel and then dried with MgSO₄. The mixture was filteredthrough a “d” fritted glass funnel and the solvent distilled from thepolymer by rotary evaporation. Final traces of solvents were removedunder high vacuum (0.4 mm Hg) on a Kugelrohr apparatus at 90° C. toprovide acetyl-poly (L-lactic acid) with n=8.8, Mn=860, Mw=1151. Theproduct was then distilled at 0.4 mm Hg at 156° C. (3×) on a fallingfilm molecular still to remove certain low MW polymers resulting inacetyl-poly (L-lactic acid) with n=9.0, Mn=933, Mw=1233 (by GPC).

Example 2

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 6 hours the reaction was cooled to 80° C. and aceticanhydride (300 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 230 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator. Ethylacetate (700 mL) was added and the resulting solution was extractedtwice with millipore water (200 mL) in a separatory funnel and thendried with MgSO₄. The mixture was filtered through a “d” fritted glassfunnel and the solvent distilled from the polymer by rotary evaporation.Final traces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 90° C. to provide acetyl-poly (L-lactic acid)with n=6.4. The product was then distilled at 0.4 mm Hg at 110° C. (1×),156° C. (3×) on a falling film molecular still to remove certain low MWpolymers resulting in acetyl-poly (L-lactic acid) with n=8.6, Mn=685,Mw=859 (by SFC).

Example 3

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (14 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 10 hours the temperature was raised to 160° C. After atotal of 13 hours the reaction was cooled to 80° C. and acetic anhydride(220 mL) was added. The solution was stirred at 80° C. overnight under aslow nitrogen purge. After 12 or more hours the remaining aceticanhydride and acetic acid were removed under vacuum. After the aceticacid/acetic anhydride distillation was complete, 230 mL oftetrahydrofuran/water (85/15; volume/volume) was added with stirring andthe flask temperature was allowed to drop to 60° C. After 15 minutes thereaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (700 mL) was added and the resulting solution was extractedtwice with millipore water (300 mL) in a separatory funnel and thendried twice with MgSO₄. The mixture was filtered through a “d” frittedglass funnel and the solvent distilled from the polymer by rotaryevaporation. Final traces of solvents were removed under high vacuum(0.4 mm Hg) on a Kugelrohr apparatus at 90° C. to provide acetyl-poly(L-lactic acid) with n=9.52. The polymer was dissolved in ethyl acetateat 16.5% solids and isopropyl alcohol was added until the solution beganto become cloudy. The solution was sealed and allowed to sit overnight,during which time some of the polymers precipitated. The solution wasfiltered through a “c” fritted glass funnel using Na₂SO₄ as a fritteraid. The filtration was repeated using an “f” flitted glass funnel. Theproduct was then distilled at 0.4 mm Hg at 110° C. (4×) on a fallingfilm molecular still to remove certain low MW polymers resulting inacetyl-poly (L-lactic acid) with n=9.9, Mn=666, Mw=882 (by SFC).

Example 4

L-lactide (200 grams; 1.38 moles) and water (200 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 6 hours the reaction was cooled to 80° C. and aceticanhydride (200 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 180 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (600 mL) was added and the resulting solution was extractedtwice with millipore water (200 mL) in a separatory funnel and thendried with MgSO₄. The mixture was filtered through a “d” flitted glassfunnel and the solvent distilled from the polymer by rotary evaporation.Final traces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 90° C. to provide acetyl-poly (L-lactic acid)with n=6.6. The product was then distilled at 0.4 mm Hg at 190° C. (3×)on a falling film molecular still to remove certain low MW polymersresulting in acetyl-poly (L-lactic acid) with n=9.2, Mn=529, Mw=707 (bySFC).

Example 5

DL-lactic acid (300 grams; 2.83 moles) was placed in a 1 L 3-neck flaskequipped with a mechanical stirrer, distillation head, and athermometer. The flask was then placed under vacuum (7 mm Hg) and thetemperature was raised to 140° C. to distill off water. After 8 hoursthe reaction was cooled to 80° C. to provide poly (DL-lactic acid) withn=6.4. The product was then placed under vacuum (7 mm Hg) and thetemperature was again raised to 140° C. for 2 hours to provide poly(DL-lactic acid) with n=11.4, Mn=925, Mw=1670 (by GPC).

Example 6

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 8 hours the reaction was cooled to 80° C. and aceticanhydride (300 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 270 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (750 mL) was added and the resulting solution was extractedthree times with millipore water (250 mL) in a separatory funnel andthen dried with MgSO₄. The mixture was filtered through a “d” frittedglass funnel and the solvent distilled from the polymer by rotaryevaporation. Final traces of solvents were removed under high vacuum(0.4 mm Hg) on a Kugelrohr apparatus at 90° C. to provide acetyl-poly(L-lactic acid) with n=6.4. The product was then distilled at 0.4 mm Hgat 110° C. (2×) on a falling film molecular still to remove polymerswith two or less repeat units resulting in acetyl-poly (L-lactic acid)with n=8.1, Mn=592, Mw=751 (by SFC).

Example 7

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 8 hours the reaction was cooled to 80° C. and aceticanhydride (300 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 270 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (750 mL) was added and the resulting solution was extractedthree times with millipore water (250 mL) in a separatory funnel andthen dried with MgSO₄. The mixture was filtered through a “d” frittedglass funnel and the solvent distilled from the polymer by rotaryevaporation. Final traces of solvents were removed under high vacuum(0.4 mm Hg) on a Kugelrohr apparatus at 90° C. to provide acetyl-poly(L-lactic acid) with n=6.5. The product was then distilled at 0.4 mm Hgat 110° C. (1×), 156° C. (3×), and 212° C. on a falling film molecularstill to remove certain low MW polymers resulting in acetyl-poly(L-lactic acid) with n=13, Mn=958, Mw=1077 (by SFC).

Example 8

Five lots of acetyl-poly (L-lactic acid), prepared as in example 7, werecombined and distilled at 0.4 mm Hg at 212° C. (2×) on a falling filmmolecular still to obtain an acetyl-poly (L-lactic acid) with n=11.5. Asdescribed in example 22, 8.52 g of this polymer was then placed in asample extraction cartridge connected to a Dense Gas Management (DGM)System and sequentially fractionated. Supercritical fluid CO₂ flow wasinitiated at 27.5 Bar at 60° C. and 2.76 g of acetyl-poly (L-lacticacid), was removed and discarded. A second fraction was collected at37.5 Bar at 60 ° C. to obtain 2.96 g of acetyl-poly (L-lactic acid) withn=12.8, Mn=982, Mw=1087 (by SFC).

Example 9

L-lactic acid (258 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 16 hours the reaction was cooled to 80° C. and aceticanhydride (200 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 300 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 40° C. After 30 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (300 mL) was added and the resulting solution was extractedwith water then dried with MgSO₄. The mixture was filtered through a “d”fritted glass funnel and the solution was diluted with hexane until asecond phase formed. The chloroform layer was collected and the solventdistilled from the polymer by rotary evaporation. Final traces ofsolvents were removed under high vacuum (0.4 mm Hg) on a Kugelrohrapparatus at 90° C. to provide acetyl-poly (L-lactic acid) with n=14,Mn=1118, Mw=2100 (by GPC).

Example 10

L-lactide (199 grams; 1.38 moles) and water (200 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 6 hours the reaction was cooled to 80° C. and aceticanhydride (200 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 180 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (600 mL) was added and the resulting solution was extractedtwice with millipore water (200 mL) in a separatory funnel and thendried with MgSO₄. The mixture was filtered through a “d” fritted glassfunnel and the solvent distilled from the polymer by rotary evaporation.Final traces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 90° C. to provide acetyl-poly (L-lactic acid)with n=6.4. The product was then distilled at 0.4 mm Hg at 110° C. (1×),156° C. (3×) and 212° C. (2×) on a falling film molecular still toremove certain low MW polymers resulting in acetyl-poly (L-lactic acid)with n=9.07, Mn=829, Mw=1038 (by GPC).

Example 11

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 6 hours the reaction was cooled to 80° C. and aceticanhydride (300 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 230 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator. Ethylacetate (700 mL) was added and the resulting solution was extractedtwice with millipore water (200 mL) in a separatory funnel and thendried with MgSO₄. The mixture was filtered through a “d” fritted glassfunnel and the solvent distilled from the polymer by rotary evaporation.Final traces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 90° C. to provide acetyl-poly (L-lactic acid)with n=6.4. The product was then distilled at 0.4 mm Hg at 110° C. (2×),156° C. (3×) on a falling film molecular still to remove certain low MWpolymers resulting in acetyl-poly (L-lactic acid) with n=10, Mn=715,Mw=865 (by SFC).

Example 12

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 4 hours the reaction was cooled to 80° C. and aceticanhydride (300 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 180 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator. Ethylacetate (1 L) was added and the resulting solution was extracted twicewith millipore water (200 mL) in a separatory funnel and then dried withMgSO₄. The mixture was filtered through a “d” fritted glass funnel andthe solvent distilled from the polymer by rotary evaporation. Finaltraces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 90° C. to provide acetyl-poly (L-lactic acid)with n=6.4. The product was then distilled at 0.4 mm Hg at 110° C. (1×),156° C. (3×) on a falling film molecular still to remove certain low MWpolymers resulting in acetyl-poly (L-lactic acid) with n=6.64, Mn=524,Mw=576 (by SFC).

Example 13

Six lots of acetyl-poly (L-lactic acid) with average n values rangingfrom 5 to 9 were combined and final traces of solvents were removedunder high vacuum (0.4 mm Hg) on a Kugelrohr apparatus at 90° C. Theproduct was then distilled at 0.4 mm Hg at 156° C. (2×) on a fallingfilm molecular still to remove polymers resulting in acetyl-poly(L-lactic acid) with n=8.54, Mn=762, Mw=1032 (by GPC).

Example 14

DL-Lactic acid (150 grams of a nominally 85% solution in water; 1.42moles) and glycolic acid (46.1 grams; 0.61 moles) were combined andheated (120-140° C.) under aspirator vacuum with stirring for 23 hours.Acetic anhydride (310 grams) was added and the resulting mixture washeated with stirring for about 150 minutes to remove acetic acid. Water(146 mL) was added. The volatiles were removed by distillation underaspirator vacuum followed by rotary evaporation. The crude product wasdried under high vacuum over the weekend. The crude product was thenextracted with chloroform. The chloroform extract was washed 4 timeswith dilute hydrochloric acid then evaporated. The residue was driedunder high vacuum overnight to provide 130 grams ofacetyl-poly(DL-lactic-co-glycolic acid). Based on proton nuclearmagnetic resonance spectroscopy, the product had a total chain length ofn=12 with an average of 8.7 lactic acid units and 3.4 glycolic acidunits randomly distributed therein and wherein Mn=578 and Mw=867 (byGPC).

Example 15

L-Lactic acid (200 grams of a nominally 85% solution in water; 1.89moles) and toluene (1200 mL) were combined and heated for 24 hours toazeotropically remove water. Acetic anhydride (289 grams; 2.84 moles)was added and the reaction was heated for an additional 2 hours. Water(50 mL) was added and the reaction mixture was heated for an additionalhour during which time 300 mL of solvent were removed. The volatileswere removed by distillation under aspirator vacuum followed by rotaryevaporation. The crude product was dissolved in chloroform (80 mL). Thechloroform solution was washed with dilute hydrochloric acid thenevaporated to provide acetyl-poly(L-lactic acid). A portion of thismaterial was chlorinated as follows: Oxalyl chloride (32.7 mL; 0.375moles) was added dropwise to a cooled (0° C.) solution containingacetyl-poly(L-lactic acid) (40 grams) in 1,2-dichloroethane (400 mL).The reaction mixture was stirred at 0° C. for an hour after the additionwas completed. The reaction mixture was heated slowly to 45° C. andstirred at this temperature overnight during which time most of the1,2-dichloroethane evaporated. Oxalyl chloride (10.9 mL) and1,2-dichloroethane (250 mL) were added and the reaction mixture washeated at 50° C. for 1 hour. The reaction mixture was heated underaspirator vacuum to remove the volatiles. The residue was dried on arotary evaporator and then under high vacuum to provide 33.7 g ofacetyl-poly(L-lactoyl) chloride wherein n=4.7. Theacetyl-poly(L-lactoyl) chloride (33.7 grams, 0.081 mole) was dissolvedin chloroform (200 mL). Glycine (15.8 grams; 0.211 mole) and sodiumhydroxide (8.42 grams; 0.211 mole) were dissolved in water (45 mL). Thetwo solutions were combined and stirred at ambient temperature for 4hours. Hydrochloric acid (25 mL) was added to adjust the pH to 2; thenthe reaction mixture was diluted with chloroform (80 mL). The phaseswere separated and the organic phase was evaporated to provide a crudeproduct. The crude product was partitioned between chloroform and water.The chloroform layer was evaporated to provide material that by protonnuclear magnetic resonance spectroscopy was a 70:30 mixture ofacetyl-poly(L-lactoyl) N-glycine and acetyl-poly(L-lactic acid) withn=4.0, Mn=491 and Mw=565 (by GPC).

Example 16

DL-2-Hydroxycaproic acid (1.00 grams, 0.0076 mole) was placed in a minireaction flask (5 mL) equipped with a distillation head and magneticspin vane. The flask was heated at 110° C. for 24 hours under low vacuum(aspirator). Acetic anhydride (1 gram; 0.0098 mole) was added to thepolymer, followed by heating at 110° C. for 18 hours. Excess aceticanhydride and acetic acid were distilled off under low vacuum.Tetrahydrofuran/water (1 mL of 85/15; volume/volume) was added withstirring and heating at 60° C. for 0.5 hour. The bulk of the solvent wasremoved by vacuum distillation on a rotary evaporator. The resultingcrude product was dissolved in chloroform (10 mL). The chloroformsolution was washed twice with Millipore water (5 mL) and then driedwith MgSO₄. The mixture was filtered through a “d” fritted glass funneland the solvent distilled from the polymer by rotary evaporation. Finaltraces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 120° C. to provide acetyl-poly(DL-hydroxycaproicacid) with n=7.4, Mn=830, and Mw=1214 (by GPC).

Example 17

DL-2-Hydroxycaproic acid (1.00 gram, 0.0076 mole), and L-lactic acid(4.5 grams of a nominally 85% solution in water; 0.043 mole) were placedin a reaction flask equipped with a distillation head and mechanicalstirrer. The flask was heated at 110° C. for 6 hours under low vacuum(aspirator) while water was removed. The temperature was then raised to140° C. for 6 hours. Acetic anhydride (5.16 grams; 0.0506 moles) wasadded to the polymer, followed by heating at 80° C. for 14 hours. Excessacetic anhydride and acetic acid were distilled off under low vacuum.Tetrahydrofuran/water (15 mL of 85/15; volume/volume) was added withstirring and heating at 60° C. for 0.5 hour. The bulk of the solvent wasremoved by vacuum distillation on a rotary evaporator. The resultingcrude product was dissolved in chloroform (20 mL). The chloroformsolution was washed twice with millipore water (5 mL) and then driedwith MgSO₄. The mixture was filtered through a “d” fritted glass funneland the solvent distilled from the polymer by rotary evaporation. Finaltraces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 120° C. to provideacetyl-poly(DL-2-hydroxycaproic-co-L-lactic acid) with n=7.5 for lacticacid and 1.4 for hydroxycaproic acid, Mn=763, and Mw=1044 (by GPC).

Example 18

L-Lactide (8.72 grams; 0.061 mole), p-dioxanone (1.34 grams, 0.013 mole)and water (10 mL; Millipore) were placed in a 50 mL 3-neck flaskequipped with a mechanical stirrer, distillation head, and athermometer. The reaction mixture was warmed to 80° C. and stirred undernitrogen overnight. The flask was then placed under vacuum (aspirator, 7mm Hg) and the temperature was raised to 110° C. to distill off water.After 1 hour, 200 μl of tin octanoate (0.33 M in toluene) was added andthe reaction proceeded for 16 hours. The flask was cooled to 80° C. and10 mL of acetic anhydride was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 8 hours the remainingacetic anhydride and acetic acid were removed under vacuum. After theacetic acid and acetic anhydride distillation was complete, 25 mL oftetrahydrofuran/water (85/15; volume/volume) was added with stirring andthe flask temperature was allowed to drop to 60° C. After 15 minutes thereaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (50 mL) was added and the resulting solution was extractedtwice with 20 mL of millipore water in a separatory funnel and thendried with MgSO₄. The mixture was filtered through a “d” fritted glassfunnel and the solvent distilled from the polymer by rotary evaporation.Final traces of solvents and monomer were removed under high vacuum (0.4mm Hg) on a Kugelrohr apparatus at 90° C. to yieldacetyl-poly(dioxanone-co-L-lactic acid) with dioxanone n=0.6, lacticacid n=7.5.

Example 19

Several lots of acetyl-poly (L-lactic acid) were distilled at 0.4 mm Hgat 110° C. (1×), 156° C. (3×), and 212° C. (3×) on a falling filmmolecular still obtain a distillate of low MW polymers, primarily with arange of n=2-6, and an average n=4.14. This distillate was thendistilled at 0.4 mm Hg at 110° C. (3×) on a falling film molecular stillresulting in acetyl-poly (L-lactic acid) with n=4.96, primarily with arange of n=3-6, Mn=383, Mw=406 (by SFC).

Example 20

L-lactide (300 grams; 2.08 moles) and water (300 mL; Millipore) wereplaced in a 1 L 3-neck flask equipped with a mechanical stirrer,distillation head, and a thermometer. The reaction was warmed to 80° C.and stirred under nitrogen overnight. The flask was then placed undervacuum (7 mm Hg) and the temperature was raised to 140° C. to distilloff water. After 6 hours the reaction was cooled to 80° C. and aceticanhydride (300 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, 230 mLof tetrahydrofuran/water (85/15; volume/volume) was added with stirringand the flask temperature was allowed to drop to 60° C. After 15 minutesthe reaction mixture was transferred to a round bottom flask and thetetrahydrofuran was removed under vacuum on a rotary evaporator.Chloroform (700 mL) was added and the resulting solution was extractedtwice with millipore water (200 mL) in a separatory funnel and thendried with MgSO₄. The mixture was filtered through a “d” fritted glassfunnel and the solvent distilled from the polymer by rotary evaporation.Final traces of solvents were removed under high vacuum (0.4 mm Hg) on aKugelrohr apparatus at 90° C. to provide acetyl-poly (L-lactic acid)with n=5.8. The product was then distilled at 0.4 mm Hg at 110° C. (2×),156° C. (3×) on a falling film molecular still to remove certain low MWpolymers resulting in acetyl-poly (L-lactic acid) with n=6.5, Mn 708,Mw=803 (by GPC).

Example 21

L-lactide (200 grams; 1.39 moles) and ethyl lactate (0.82 gram, 0.79 ml)were placed in a 250 mL single-neck flask equipped with a stir bar and,reflux head The reaction was warned to 150° C. and stirred undernitrogen overnight. The flask was then transferred to a Kugelrohrdistillation unit, and placed under vacuum (7 mm Hg) at 140° C. withrocking. After 6 hours the reaction was cooled to 80° C. and aceticanhydride (15 mL) was added. The solution was stirred at 80° C.overnight under a slow nitrogen purge. After 12 or more hours theremaining acetic anhydride and acetic acid were removed under vacuum.After the acetic acid/acetic anhydride distillation was complete, thepolymer was dissolved in 100 mL of acetonitrile and extracted withhexane (2×30 ml). The acetonitrile layer was transferred to a roundbottom flask and the acetonitrile was removed under vacuum on a rotaryevaporator. Chloroform (700 mL) was added and the resulting solution wasextracted twice with millipore water (200 mL) in a separatory funnel andthen dried with MgSO₄. The mixture was filtered through a “d” frittedglass funnel and the solvent distilled from the polymer by rotaryevaporation. Final traces of solvents were removed under high vacuum(0.4 mm Hg) on a Kugelrohr apparatus at 90° C. to provide acetyl-poly(L-lactoyl)-O-hydroxyethane with n=21.8, Mn=1530, Mw=2400 (by GPC).

Examples 22-23 Supercritical Fluid Fractionation of Polymers

Polymer fractionation was carried out using a Dense Gas Management (DGM)System, commercially available from Marc Sims SFE Inc. Berkeley, Calif.using supercritical fluid (SCF) techniques known to those skilled in theart. In a typical fractionation according to the present invention, PLA(8 grams) and clean 2 mm glass beads (20 g) were transferred into an 100mL sample cartridge, then inserted into a 300 mL Dense Gas ManagementSystem extraction vessel. The sample cartridge was equipped with a 30micron metal frits on both ends. Supercritical fluid CO₂ (Anhydrousinstrument grade 99.99% from Oxygen Services Co., St. Paul, Minn.) flowwas initiated at the temperature and pressure described in Tables 1 and2 to remove each fraction in a glass U-tube. As each fraction wascollected, the U-tube was changed and the pressure was increased(optionally the temperature could also be changed) and supercriticalfluid CO₂ flow was continued. Upon completion of the fractionation, thesupercritical fluid CO₂ was vented down to atmospheric pressure and theresidual fraction was collected from the sample cartridge by dissolutioninto methylene chloride or ethyl acetate. These examples demonstrate thegeneral capability of supercritical fluids to fractionate bothderivatized (e.g., esterified) and underivatized polymers as well asboth amorphous and semi-crystalline polymers.

Example 22 Supercritical Fluid Fractionation of the Polymer from Example4

The capability of supercritical fluids to fractionate derivatized (e.g.,acetylated) polyhydroxy carboxylic acids (PHAs) and remove selectivedistributions of PHAs is demonstrated in Table 1. In this example,supercritical fluid fractionation of the derivatized semi-crystalline Lisomer from Example 4 resulted in 7 cuts, each with unique Mn's andpolydispersity distributions (P) more narrow than the starting material.

TABLE 1 Supercritical Fluid Fractionation of the Polymer from Example 4Pressure, Temp., CO₂, Fraction MPa ° C. L Mn Mw P Cmpd of — — — 529 7071.34 Ex. 4 1 11.0 50 130 295 346 1.17 2 15.0 50 332 323 358 1.11 3 20.050 224 443 485 1.09 4 25.0 50 250 613 668 1.09 5 30.0 50 197 823 9131.11 6 35.0 50 692 1134  1230  1.09 7(residual) — — — 1284  1417  1.1

Example 23 Supercritical Fluid Fractionation of the Polymer from Example5

The capability of supercritical fluids to fractionate underivatized(e.g., containing a hydroxyl endgroup) polyhydroxy carboxylic acids(PHAs) and remove selective distributions of PHAs is demonstrated inTable 2. In this example, supercritical fluid fractionation of theamorphous non-derivatized DL isomeric polymer from Example 5 resulted in10 cuts, each with unique Mn's and distributions more narrow than thestarting material.

TABLE 2 Supercritical Fluid Fractionation of the Polymer from Example 5Pressure, Temp., Fraction MPa ° C. Grams CO₂ Mn Mw P Cmpd of — — —  9251670 1.81 Ex. 5 1 20.0 60 668  323  482 1.49 2 22.5 60 510  409  5811.42 3 25.0 60 713  445  647 1.44 4 27.5 60 641  754  947 1.26 5 30.0 60824  982 1180 1.20 6 32.5 60 831 1210 1450 1.19 7 35.0 60 770 1750 19501.11 8 37.5 60 1000  1950 2140 1.10 9 40.0 60 700 2400 2590 1.0810(residual) — — — 3540 4080 1.15

Examples 24-29 Properties of Biocompatible Polymers Example 24Solubility Properties

Attempts to solubilize a variety of polylactic acids andpolylactic/glycolic copolymers in HFC134a and HFC227 demonstrated thatpolyhydroxycarboxylic acids of the type previously utilized in pulmonarydrug delivery, such as those described by E. Poyner, J. Cont. Rel., 35,41-48 (1995) (PLA2000) and L. Masinde, Int. J. Pharmaceutics, 100,123-131 (1993) (PLA100,000), were insoluble in the HFCs. Poly-L-lacticacid obtained from Polysciences Inc., Warrington, Pa., [L-PLA 100,000,50,000 and 2,000 (catalog nos. 18402, 06529, and 18580)] were insolublein both HFC134a and HFC227 at 0.1% weight/weight after 10 minutes ofsonication at ambient conditions. Likewise, polylactic/glycolic acidscopolymers [DL-PLAGA 5,000: 9/1 and 50,000: 8/2 (catalog nos. 19076 and19077)] were insoluble at 0.1%. After one day, DL-PLAGA 5,000: 9/1exhibited partial solubility. Poly-DL-Lactic acid [DL-PLA 20,000(catalog no. 16585)] was soluble at 0.1% but not fully soluble at 1%.

Polymers, as exemplified by the compounds of Examples 1-21, weretypically fully soluble in HFC 227 at 1% by weight with levels commonlyapproaching 3%. The solubility levels of individual polymerichydroxycarboxylic acids were a function of the polymers molecular weightand polydispersity, as well as the chemical nature of the repeatingunits and endgroups. In general, the solubilities of thepolyhydroxycarboxylic acids were increased if their tendency towardscrystallization was reduced. For example, DL-lactic acid wassubstantially more soluble than L-lactic acid, which was more solublethan polyglycolic acid for a given molecular weight and polydispersity.Likewise, the lower molecular weight polymers were more soluble thantheir higher molecular weight counterparts. And for a specifiedmolecular weight, the polymer with a lower polydispersity typicallyexhibited a greater degree of solubility.

Example 25 PLA Degradation

Comparative studies between relatively low molecular weight polylacticacids (<1800; some with low MW polydispersity distributions) andpolylactic acid with a nominal molecular weight of 2000 were conductedby subcutaneous implantation of cylinders (10×1 mm) of PLA heldseparately in sealed polypropylene woven mesh envelopes (2×1 cm) intoNew Zealand rabbits. Polypropylene mesh envelopes were used tofacilitate the handling of the PLA compound of Example 6 and PLA2000[Polysciences Inc., PA., (catalog no. 18580)] and to ease removal of theimplants at the desired times. The explants were analyzed by NMR andquantified by supercritical fluid CO₂ chromatography (SFC). Thecompounds used are described in Table 3. The compound of Example 6 andPLA2000 are composed of unaltered distributions from their molecularweights resulting from synthesis (i.e., the distributions aresubstantially unchanged from those obtained by their synthesis). PLA2000appears to be the lowest molecular weight polylactic acid which ispresently commercially available. The compounds of Examples 7 and 8 areexamples of low polydispersity distributions of PLAs, with uniqueproperties and value. The compound of Example 7 was obtained bymolecular distillation removal of very low (n=1 to 7) molecular weightpolymers from a “normal” distribution. The compound of Example 8 wasobtained by supercritical fluid fractionation to remove both low andhigh molecular weight fractions from the original distribution.

TABLE 3 SFC Analysis of Polymers used in Biodegradation Studies PolymerDescription Mn P Example 6 Unaltered polymer 592 1.26 Example 7 Novelpolymer by distillation 958 1.12 Example 8 Novel polymer by SCFfractionation 982 1.11 PLA2000 Commercial low MW polymer 2150  2.54

Table 4 compares the degradation of narrow distribution polymers(polymers of Examples 7 and 8) during the first 4 days of implantation,to normal distribution polymers of Example 6 and PLA2000. The polymersof Examples 6, 7, and 8 rapidly degrade, with more than 85% of thepolymer absorbed within 24 hours of implantation. PLA2000 had not begunto degraded at 4 days. Indeed, degradation of PLA2000 was not observedeven after 10 days. This observation was in agreement with theliterature which indicated a half-life ranging from 63 to 191 days forPLA2000.

TABLE 4 Weight Percent Remaining after Implantation of Bulk PLAsCompound Example 6 Example 7 Example 8 PLA2000 Time, days Weight %Weight % Weight % Weight % 0 100 100 1000 100 1 10.4 10.4 12.3 95.1 411.1 11.1 8.9 105.5

The low molecular weight polymeric lactic acids are clearly rapidlyabsorbed in-vivo, making them highly desirable for applicationsrequiring rapid clearance. The degradation of polylactic acids is likelyto be faster in the preferred inhalation applications than that observedin the above study. Degradation times typically correlate with implantdimensions and the implant study was conducted with relatively largecylindrical matrices which would be expected to degrade slower than themicroparticles used in certain preferred inhalation applications of theinvention. Furthermore, the lung is a more robust environment, beingrich in esterases and other defensive mechanisms, compared with asubcutaneous implant site. Additionally, in this implant study,significant amounts of unidentified (non-PLA) components of biologicalorigin were incorporated into the explant by the fourth day. Thisbiological component partially interfered with the analysis of theimplants and caused an overestimate of the amount of PLA remaining.Hence, the observed degradation can be considered the slowest probabledegradation rate.

Supporting this hypothesis, two metabolism studies (via intraperitonealinjection and aerosol inhalation in the rat utilizing ¹⁴C radio-labeledPLA of identical chemical composition and similar molecular weightdistribution to the polymer of Example 6 in Table 3 exhibited an initialhalf-life of 2 hours with >80% being eliminated within 24 hours. In thefirst study, two male Charles River CD rats were dosed with 10 mg (0.24μCi/mg) of ¹⁴C radio-labeled PLA by intraperitoneal injection of a DMSOsolution (0.2 mls). Complete urinary, fecal and CO₂ collections weremade until 4 days post dose. Tissues were collected at the time ofsacrifice. In the second study, the same compound was administered to 5rats by a 30 minute nose-only inhalation exposure. The doses weredelivered from an HFC 227 metered dose inhaler containing 0.9% PLA (51.5μCi total) into a cylindrical chamber (34 cm h×13.4 cm dia.) equippedwith individual rat holding tubes. The entire contents of the vial weredelivered to the rats. the rats were transferred to glass metabolismcages and complete urinary, fecal and CO₂ collections were made until 3days post dose. Tissues were collected at the time of sacrifice. In bothstudies the overall disposition of ¹⁴C radio-labeled PLA resembled thatof endogenous lactic acid as reported in the literature.

These results clearly indicate low molecular weight hydroxycarboxylicacid polymers (PHAs) have the highly desirable trait of rapidbiodegradation which is needed for the safe frequent inhalation of PHAs.These results also clearly indicate that hydroxycarboxylic acid polymersof narrow molecular weight distributions (compounds of Examples 7 and 8)have been obtained which retain the rapid absorption of low molecularweight conventional PLAs. The next example demonstrates the improvedphysical properties of these relatively narrow molecular weightdistributions.

Example 26 Glass Transition Temperatures (Tg)

The Tg's of polymeric compounds of Examples 6, 7, 8 and PLA2000 weredetermined by modulated DSC. The compound of Example 6 (Mn=592) had a Tgwell below room temperature (4.2° C.). Compounds of Example 7 (Mn=958),Example 8 (Mn=982), and PLA2000 (Mn=2150) had Tg's above roomtemperature (23° C., 25° C., and 44° C., respectively).

These data and that in Table 4 demonstrate that by modifying thenaturally occurring distribution of the molecular weights (i.e.,polydispersity) of these polymeric compounds, relatively narrowmolecular weight distributions can be obtained that retain the rapidbioabsorption/biodegradation of the compound of Example 6 whileexhibiting Tg's above room temperature. Thus, materials with Tg'sgreater than room temperature were obtained by removing low molecularweight polymers, which results in an increase in the Mn. For polymers ofthe same chemical composition, Tg's are known to vary with the Mn of thepolymer as described by the Flory-Fox equation. The biodegradation timeswere shortened by controlling the weight percent of the slowly degradinghigh molecular weight polymers, especially polymers having a tendencytowards forming a crystalline phase. Polymers were fractionated intouseful distributions by supercritical fluid techniques as shown inExamples 22 and 23. Useful distributions were also obtained by removinglow molecular weight polymers by the method of molecular distillationdiscussed in U.S. Pat. No. 5,569,450 (WO 94/21229) and exemplified bythe compound of Example 7.

The resulting combination of properties—rapid biodegradation with goodphysical properties—is extremely useful for many drug delivery systemsand is not believed to have been previously demonstrated using PHApolymers or the like. For example, one preferred application of suchformulations is in dry powder inhalers.

Example 27 Drugs in Polymer Matrices

It is common for smaller molecules (e.g., plasticizers) to be added topolymers to reduce and broaden the Tg, thereby improving the polymer'sprocessing or flexibility. Hence, the possibility existed that somedrugs might behave as plasticizers when added to the polymers, whichwould reduce the range of PHAs useful for solid preformed matrices, forexample, as used in dry powder inhalers. Consequently, the effect of avariety of drugs on the compound of Example 7 was examined.Surprisingly, the data in Table 5 demonstrates that the drugs actuallyraised the Tg of the matrix, allowing a broader range of PHAs to be useddue to the improved handling characteristics of the PHA-drug mixture.Thus, comparing the Tg of the PHA matrix material (the compound ofExample 7) to the Tg of the polymer composition with drug presentdemonstrated an increase of the Tg of the polymer/drug mixture relativeto the Tg of the original matrix material. It is believed that thisability of the drug to improve the material properties of the matrixmaterial has not been reported previously. It will also be recognizedthat other biologically acceptable molecules (e.g., excipients) whichare not the active agent, may be added to improve the matrix material'sproperties.

TABLE 5 Effect of Drug on the Tg of PLAs PLA/Drug Mole/MoleCompound/Mixture Ratio Tg PLA of Example 7 x 23   Chlorhexidine base 038.5 Chlorhexidine base + PLA of Ex. 7 1 37.5 Chlorhexidine base + PLAof Ex. 7 8 33.6 Lidocaine 0 none detected Lidocaine + PLA of Ex. 7 136.7 Lidocaine + PLA of Ex. 7 4 26   Lidocaine HCl 0 30.7 LidocaineHCl + PLA of Ex. 7 1 33.2 Lidocaine HCl + PLA of Ex. 7 4 25.1Tetracycline 0 50.5 Tetracycline + PLA of Ex. 7 1 36.1 Tetracycline +PLA of Ex. 7 6 29.9 Tetracycline HCl 0 50.5 Tetracycline HCl + PLA ofEx. 7 1 28.2 Tetracycline HCl + PLA of Ex. 7 4 30.5 Tetracycline HCl +PLA of Ex. 7 6 29.9 Triamcinolone acetonide 0 none detectedTriamcinolone acetonide + PLA of Ex. 7 1 25.7 Triamcinolone acetonide +PLA of Ex. 7 4 24.6 Triamcinolone acetonide + PLA of Ex. 7 6 26.4Albuterol 0 48.9 Albuterol + PLA of Ex. 7 1  15.29 Albuterol + PLA ofEx. 7 4 24.3 Albuterol sulfate (2/1) 0 49   Albuterol sulfate + PLA ofEx. 7 1 24.6 Albuterol sulfate + PLA of Ex. 7 5 25.9 Kanamycin sulfate 049   Kanamycin sulfate + PLA of Ex. 7 1 27.6 Kanamycin sulfate + PLA ofEx. 7 3 24.5 Kanamycin sulfate + PLA of Ex. 7 7 22.9

Example 28 Biodegradable Polymer/Drug Salts

Changes in drug melting points (Tm) as determined on a modulated DSCprovided evidence for salt formation between the drug and the PLA ofExample 7 as shown in Table 6. The salts were prepared by mixingsuitable solutions (e.g., acetone, chloroform, methanol) of the drug andPLA in the desired ratio, followed by evaporation and extensive dryingunder high vacuum to remove all traces of solvent. As later examplesdemonstrate, these novel salt complexes alter the bioavailability of thedrug and can provide a new manner to control drug release. Among thePHAs, alpha-PHAs are preferred because they exhibit very low pKa's(>3.5) and are rapidly biodegraded. Bioavailability frequentlycorrelates with the water solubility of the drug-complex. The watersolubility of the PHAs is dependent on the molecular weight and thenature of the end groups. For example, non-esterified polylactic acid iswater-soluble up to a molecular weight of 522 (7 repeat units) with someauthors reporting up to 882 (12 repeat units) as being water soluble.Acetylated polylactic acids are not water soluble beyond 276 (3 repeatunits).

Thus, for example, if an acetylated polylactic acid of molecular weightgreater than 564 is used it is unlikely to provide a water solublecomplex until the chain has been hydrolyzed at one ester bond. Themolecular weight of the acylated polymer necessary to provide aninsoluble salt is dependent both on the nature of the drug and theend-group used. It will be recognized that the characteristics (MW,distribution, chemical nature, endgroups, etc.) of the polymercounter-ion will be important to the ultimate pharmacokinetics of thedrug. Furthermore, the ability to provide tailored kinetics (e.g.,zero-order, pulsed) should be possible by blending different polymers.Thus, the biodegradability of the counterion provides a new method toalter the pharmacokinetics of the drug. Additionally, the increasedthermal stability of the salt complex over the free base drugexemplifies the utility of such polymers as stabilizers. In thepreferred application (MDIs) the ability of PHAs to form stabilizingsalts with amine-containing drugs is especially valuable when the saltsare soluble in the propellant formulation (such as in HFCs 134a and227).

TABLE 6 Thermal Properties PLA/Drug Molar Tm, Degradation Compound Ratio° C. Temperature, ° C. PLA of Example 7 — none >225 (amorphous)Chlorhexidine base 0 132 >225 Chlorhexidine base + 1 192 >225 PLA of Ex.7 Lidocaine 0 68 159 Lidocaine + PLA of 1 91 >225 Ex. 7 Tetracycline 0158 179 Tetracycline + PLA of 1 >225 >225 Ex. 7 Tetracycline + PLA of6 >225 >225 Ex. 7

Example 29 Polymers as Solubilizing Aids

The insolubility of many drugs, along with the typically poor shelf life(long term chemical stability) of those drugs which may form solutions,has presented a general problem to formulators. The stabilizing effectof PHAs is presented in Table 6. The general utility of PHAs to aid inthe preparation of propellant solution formulations has beendemonstrated, for example, by the ability of polylactic acids toincrease the solubility of drugs in the propellants HFC 134a and 227.The solubilizing effect of the polymers is demonstrated in Table 7. Italso displays the effect of cosolvents and polymer structure on thepolymer's ability to function as a solubilizer for a given drug. Whencosolvents were present, synergistic increases in solubility weresometimes observed. The utility of PHAs to provide stable solutionformulations provides a significant advance in the inhalation drugdelivery art.

TABLE 7 Solubilization of Drugs in Propellant by Weight-% of PLA Drug(%), HFC Cmpnd 0% PLA 0.10% PLA 1% PLA 2.70% PLA Albuterol base Ex. 2insol sol at 0.03% sol (0.01), 134a Albuterol Ex. 19 insol * sol * base(0.05), 134a Albuterol sulfate Ex. 2 insol insol insol * (0.01), 227Albuterol sulfate Ex. 19 insol insol insol * (0.01), 227 Budesonide(0.02), Ex. 19 insol * sol * 227 + 2% EtOH Budesonide Ex. 19 insol insolinsol insol (0.015), 227 Butixocort Ex. 2 insol * insol sol propionate(0.08), 227 Butixocort Ex. 2 insol * * sol propionate (0.08), 227 + 0.5%EtOH Butixocort Ex. 2 insol * * sol propionate (0.08), 134aChlorhexidine Ex. 2 insol * sol * (0.05), 134a Chlorhexidine Ex. 2insol * sol sol (0.03), 227 Chlorhexidine Ex. 19 insol * sol * (0.03),227 Dibekacin (0.008), Ex. 2 insol insol insol * 134a Lidocaine (1.0),Ex. 19 insol * * sol at 5% 134a Lidocaine (1.0), Ex. 2 insol * * sol at3.4% 227 Pirbuterol Acetate Ex. 2 insol * sol * (0.01), 227 PirbuterolAcetate Ex. 19 insol * sol * (0.01), 227 Rifampicin (0.04), Ex. 19 insolinsol sol sol 134a *data not collected

Examples 30-34 Sustained Release Formulations

The PLA formulations shown in Table 8 were prepared and tested forsustained release in vivo. PLAs were used to prepare solution andsuspension aerosol formulations using the following general method. Thedrugs and PLAs were weighed into a 120 mL glass aerosol vial along withthe cosolvent if needed. A continuous or metered valve was crimped ontothe vial and the vial was pressure filled with propellant, either HFC134a or HFC 227, to provide a stock solution containing the desiredweight-% of PLA and drug. The stock solutions were then used as is orcold-fill transferred to 15 mL vials equipped with metered dose valvesusing techniques known in the art. The following drugs were used:4-amino-α,α,2-trimethyl-1H-imidazo[4,5-c]quinoline-1-ethanol (“IMQ”) anddisclosed in Comparative Example C1 in U.S. Pat. No. 5,266,575;2,5-diethyl-10-oxo-1,2,4-triazolo[1,5-c]pyrimido[5,4-b][1,4]thiazine(“PD4”) and disclosed as Example 148 in U.S. Pat. No. 4,981,850;1-(1-ethylpropyl)-1-hydroxy-3-phenylurea (“5LO”) and disclosed asCompound 42 in International Publication No. WO 96/03983; butixocortpropionate (“BTX”); and beclomethasone dipropionate (“BDP”).

TABLE 8 Cosolvent; Formula HFC Drug; wt-% PLA Cmpnd; wt-% wt-% Example30 227 IMQ; 0.079 PLA of Ex. 9; 0.83 EtOH; 9.3 Example 31 227 BDP; 0.337PLA of Ex. 13; 3.37 EtOH; 8.0 Example 32 134a BTX; 0.32 PLA of Ex. 1;3.36 EtOH; 7.7 Example 33 227 PD4; 0.09 PLA of Ex. 1; 1.15 EtOH; 8.3Example 34 227 5LO; 0.091 PLA of Ex. 3; 0.91 EtOH 13.2

Example 30 Sustained Release of IMQ

The formulation of Example 30 in Table 8 and its PLA free analogue wereadministered to mice by inhalation. Typical inhalation exposure systemswere comprised of but not limited to, an aerosol generator, e.g., anMDI, an aerosol expansion space, and a housing device which ensures theanimals must inhale the aerosol, e.g., a flow-past inhalation chamber.Typically, the animals were exposed to 20 actuations per minute for 25minutes of an MDI generated 2 micron average MMAD aerosol. Lung lavageand bleeding of the exposed mice, were performed by standard methodsknown to those skilled in the art and tumor necrosis factor (TNF)analyses were performed by an ELISA method specific for TNF in the mouse(Genzyme Immunobiologicals, Cambridge, Mass.). TNF is a marker for thisdrug's activity. Pulmonary therapy application of IMQ prefers drugactivity localized in the lung. Therefore, it was desirable to maintainhigh levels of drug in the lung and minimize systemic drug. However,this formulation and method could also clearly be used to provide longterm release of IMQ or analogous compounds for systemic applications.The results are presented in Table 9. The lavage numbers aremeasurements of TNF levels in the lung while the serum levels measuresystemic TNF levels.

TABLE 9 IMQ with Compound of Ex. IMQ alone Time (hours) 9. TNF level(pg/ml) TNF level (pg/ml) after dosing Lavage Serum Lavage Serum 0 0 040 13 1 0 275 105 6 2 1209 202 213 193 4 218 0 144 577 72 42 0 * * *data not collected

These results show that IMQ alone produced the greatest activity, asseen by TNF production, in the serum rather than the lung lavage. Theaddition of PLA reversed this result by causing the greatest activity ofTNF production in the lung along with the longest duration of activityin the lung. IMQ was used in its free base form and thus formed abiodegradable salt complex with the compound of Example 9. Thisbiodegradable polymer-IMQ salt was soluble in the HFC based propellantsystem. This example also demonstrated the generation of microspheresfor sustained release, and the utility of biodegradable polymericcounterions in drug delivery.

Example 31 Sustained Release of BDP

The formulation of Example 31 in Table 8 and its PLA free analogue wereadministered to adult dogs by inhalation. Sedated dogs were intubatedwith a low pressure cuff endotracheal tube (Hi-Lo Jet®, Mallinkrodt,Glen Falls, N.Y.). The side port was fitted with a Delrin® actuator andthe MDI was fired through the side port tube, typically 20 times over 10minutes. Serum samples were collected over time and analyzed for thebeclomethasone dipropionate metabolite, specifically freebeclomethasone. The results are presented in Table 10.

TABLE 10 Beclomethasone in Serum (pg/ml) Time (minutes) after BDP withCompound of Ex. dosing 13 BDP −9 0 0 3 0 31 63 46 75 122 72 68 183 19572 242 238 70 296 237 80 357 335 100

These results show that BDP alone produced serum metabolite levelsquickly, suggesting low residence time of BDP in the lung. BDP/PLA notonly caused a delay in the appearance of metabolite in serum, but alsoresulted in higher levels over a longer time, showing the BDP/PLAformulation resulted in longer lung residence time. Prior experimentsindicated BDP alone typically had reached peak concentrations by 350minutes after exposure. BDP is a steroid and lacks the ability to form asalt complex with the compound of Example 13. Hence, this exampledemonstrates the utility of biodegradable polymeric-hydroxycarboxylicacids with hydrophobic drugs in sustained release drug delivery. Thisbiodegradable polymer and non-salt forming steroid were soluble in theHFC-based propellant system and provide another example of thegeneration of microspheres for sustained release.

Example 32 Sustained Release of Butixocort Propionate

The formulation of Example 32 in Table 8 and its PLA free analogue weredelivered into the respiratory track and lungs of adult dogs. Sedateddogs were intubated with a low pressure cuff endotracheal tube (Hi-LoJet®, Mallinkrodt, Glen Falls, N.Y.). The side port was fitted with aDelrin® actuator and the MDI was fired through the side port tube. Bloodsamples were collected from the dogs and the primary metabolite of BTX(JO-1605) was assayed. The results are presented in Table 11.

TABLE 11 Metabolite Levels (ng/ml) Time (hrs) after BTX with the dosingCompound of Ex. 1 BTX 0.0 0.0 0.1 0.5 1.9 5.3 1.5 2.1 2.9 2.5 2.6 1.23.5 3.7 1.1 4.5 3.3 0.5 5.5 4.0 * 6.5 3.4 * *data not collected

These results showed after the BTX exposure, the appearance ofmetabolite (JO-1605) in the blood was rapid, peaked soon, and diminishedquickly. The addition of the Compound of Example 1 to BTX caused thepresence of JO-1605 to be greatly extended compared to the non-PLAformulation. Thus, PLA formulations exhibited an increased drugresidence time in the lungs. BTX is a steroid and lacks the ability toform a salt complex with the polymers. Hence, this example demonstratesthe utility of biodegradable polymeric-hydroxycarboxylic acids withhydrophobic drugs in sustained release drug delivery and providesanother example of the generation of microsphere particles for sustainedrelease.

Example 33 Sustained Release of PD4

MDI Formulation Example 33 in Table 8 and its PLA free analogue weregiven to mice by inhalation and the amount of PD4 was determined forlung lavage fluid and serum. Typical inhalation exposure systems werecomprised of but not limited to, an aerosol generator, e.g., an MDI, anaerosol expansion space, and a housing device which ensures the animalsmust inhale the aerosol, e.g., a flow-past inhalation chamber.Typically, 15 mice were continually exposed to a 0.88 micron MMADaerosol generated from a pressure vessel for 11 minutes. The results arepresented in Table 12.

TABLE 12 PD4 with the Compound Time (minutes) of Ex. 1 (μg) PD4 (μg)after dosing Lavage Serum Lavage Serum 10 0.342 2.81 0.032 3.19 60 0.1462.02 0.008 7.38

These results show that PD4 alone produced small levels of drug in thelung lavage fluid and large proportional amounts in the serum. PD4/PLAproduced much greater levels of drug in the lavage fluid and smallerproportional amounts in the serum, especially after 60 minutes pastexposure, suggesting that PLA caused longer lung drug residence time.This example demonstrates the utility of sustained release, localizeddelivery aerosol formations, and salt formation.

Example 34 Sustained Release of 5LO

The formulation of Example 34 in Table 8 and its PLA free analogue weregiven to male Hartley guinea pigs by inhalation and evaluated by theguinea pig early phase anaphylactic response test. Typical inhalationexposure systems were comprised of an aerosol generator, e.g., an MDI, a150 ml aerosol expansion chamber, and a trachea cannula. Each guinea pigreceived 4 actuations containing 32 ug drug/actuation. The guinea pigswere antigen (ovalalbumin) challenged at varied times and pulmonarydynamic compliance was tested using a Buxco pulmonary mechanics analyzer(Buxco Electronics, Sharon Conn.) according to the method of Amdur andMead (The American Journal of Physiology, Vol. 92, pp. 364-368 (1958)).The results are presented in Table 13.

TABLE 13 Percent Inhibition of Bronchoconstriction Time (minutes) ofchallenge 5LO with the compound of after dosing Ex. 3 5LO 15 * 67% 30 *48% 60 78%  4% 120 58% * * data not collected

These results show that the activity of 5LO as measured bybronchoconstriction inhibition was nearly at background at the 60 minutetime point compared to the activity of 5LO/PLA which exhibited activityout to at least 120 minutes. Thus, PLA caused sustained activity of 5LO.

Examples 35-60 In vitro Sustained Release Studies

To minimize the use of animals associated with the in vivo studies anumber of in vitro studies were conducted to further exemplify theinvention. These studies were based on the release of drug from anPLA-drug impregnated matrix. The matrix was used to facilitate easyhandling of the systems and did not affect the release of drug. In atypical example, the drug (exemplified by lidocaine (1.46 mg, 6.24 mM))and PLA (exemplified by the compound of Example 10) were dissolved in125 mL of acetone. To 50 mL of this solution, 72 filter paper disks (oneinch diameter) were added and allowed to soak for 15 hours. After airdrying, the drug/PLA impregnated disks were dried under reduced pressure(0.05 mm Hg) for 2 hours. The disks were the placed in separate 1 ouncevials containing 5 mL of 0.02 M acetate buffer. At the desired testtimes, an aliquot was removed, acidified with 0.1 M HCl to a pH of 1,and filtered through a 0.2μ PTFE filter (Millipore) and the absorbanceread at the desired wavelength (e.g., 264 nm for lidocaine) to determinethe amount of drug released. The method used above was used to preparedthe specific compositions in Table 14. The data in Table 14 presents theeffect that the PHAs had on the release of the selected compounds. Disksimpregnated only with drug released the drug within 5 minutes.

TABLE 14 Coating Mole Ratio Weight, Mole % Released at Time (minutes)Ex. # PLA Cmpnd Drug PLA/drug g/disk 15 min 45 min 90 min 180 min 360min 720 min 35 PLA of Ex. 7 Lidocaine 4 0.054  39 44 43 51 56 78 36 PLAof Ex. 7 + Lidocaine 1 0.0542 26 36 45 70 77 82 PLAGA (1:1 ratio) 37 PLAof Ex. 10 Chlorhexidine 4 0.0011 14 23 26 34 35 * 38 PLA of Ex. 10Albuterol base 1 0.054  50 54 49 88 94 99 39 PLA of Ex. 10 Albuterolbase 10  0.005  69 78 87 99 * * 40 PLA of Ex. 10 Tetracycline 4 0.054 11 26 41 49 53 57 41 PLA of Ex. 10 Tetracycline 10  0.003  85 9195 * * * PLAGA is Medisorb 85% DL-lactide-15% glycolide, IV = .76, Mn =160,000 *data not collected

The PHA formulations shown in Table 15 were prepared for use withinmetered dose inhalers. PHAs were used to prepare solution and suspensionaerosol formulations of the invention using the following generalmethod. The active agent and PHAs were weighed into a four ounce (120mL) glass aerosol vial along with the cosolvent if needed. A continuousvalve was crimped onto the vial and the vial was pressure filled withpropellant, either HFC 134a or HFC 227, to provide a stock solutioncontaining the desired weight-% of PHA and drug (optionally with acosolvent). Utilizing glass vials allowed visual evaluation of theformulation. Using standard techniques known in the art, theformulations were chilled with dry ice to allow cold transfer to smallervials equipped with metered dose valves. The metered dose valves werethen actuated and the mass median aerodynamic diameters (MMAD) of theaerosol thus produced were determined using a Quartz crystalmicrobalance.

TABLE 15 Drug; Cmpnd; Cosolvent; MMAD, Example weight-% Weight-% HFCWeight-% Result μm 42 Budesonide; 0.1 Ex. 1; 1 227 EtOH; 8 Solution 1.8843 Fluticasone; 0.1 Ex. 1; 1 227 EtOH; 1 Suspension 1.60 44 PentamidineEx. 1; 1 227 EtOH; 8 Suspension 2.12 Isethionate; 0.1 45 CromoglycateEx. 1; 1 227 EtOH; 3 Suspension 2.39 Na₂; 0.1 46 Cromoglycate Ex. 1; 1227 IspOH; 3 Suspension 1.57 Na₂; 0.1 47 BDP; 0.1 Ex. 20; 1 227 EtOH; 1Solution 2.10 48 BDP; 0.1 Ex. 20; 1 227 EtOH; 8 Solution 2.42 49 BDP;0.1 Ex. 1; 1 134a EtOH; 9 Solution 2.02 50 BDP; 0.1 Ex. 1; 1 227 EtOH; 8Solution 2.64 51 BTX; 0.2 Ex. 16; 0.3 227 0 Solution * 52 BTX; 0.2 Ex.17; 0.8 227 0 Suspension * 53 BTX; 0.2 Ex. 14; 2.2 227 EtOH; 8 Solution2.53 54 BTX; 0.2 Ex. 15; 2.9 227 EtOH; 8 Solution * 55 BTX; 0.2 Ex. 16;3.1 227 EtOH; 8 Solution 3.39 56 BTX; 0.2 Ex. 17; 0.6 227 EtOH; 8Suspension * 57 BTX; 0.1 Ex. 18; 2.0 227 EtOH; 8 Solution 2.44 58Albuterol SO₄; Ex. 15; 2.9 227 EtOH; 4 Suspension 3.54 0.2 59 BTX; 0.3Ex. 21; 3.0 227 EtOH; 8 Solution 3.29 60 BTX; 0.2 Ex. 21; 2.0 227 EtOH;1 Solution 2.85 *data not collected

These results show a variety of PHAs are capable of being formulatedwith a variety of classes of drugs into both solution and suspensionformulations. These formulations were capable of generatingmicroparticles composed of PHA and drug with mass median aerodynamicdiameters suitable for inhalation.

The foregoing detailed description and examples have been given forclarity of understanding only. No unnecessary limitations are to beunderstood therefrom. The invention is not limited to the exact detailsshown and described, for variations apparent to those skilled in the artare intended to be included within the invention defined by the claims.The complete disclosures of all patents, patent documents, andpublications listed herein are incorporated by reference, as if eachwere individually incorporated by reference.

What is claimed is:
 1. A medicinal aerosol solution formulation,comprising: (a) a biocompatible polymer substantially completelydissolved in the formulation; the biocompatible polymer comprising atleast one chain of units of the formula —[X—R¹—C(O)]— wherein: (i) eachR¹ is an independently selected organic group that links the —X— groupto the carbonyl group; and (ii) each X is independently oxygen, sulfur,or catenary nitrogen; (b) a propellant selected from the groupconsisting of a chlorofluorocarbon, a hydrochlorofluorocarbon, ahydrofluorocarbon, or a mixture thereof; and (c) a drug substantiallycompletely dissolved in the formulation in a therapeutically effectiveamount.
 2. The formulation of claim 1, wherein the formulation issuitable for nasal and/or oral inhalation.
 3. The formulation of claim 2wherein each X is independently oxygen or catenary nitrogen.
 4. Theformulation of claim 3 wherein each X is oxygen.
 5. The formulation ofclaim 4 wherein the biocompatible polymer is biodegradable.
 6. Theformulation of claim 1 wherein the biocompatible polymer isbiodegradable.
 7. The formulation of claim 6 wherein the biodegradablepolymer has a number-average molecular weight of no greater than about1500.
 8. The formulation of claim 7 wherein the biodegradable polymerhas a number-average molecular weight of no greater than about
 1200. 9.The formulation of claim 7 wherein the biodegradable polymer has anumber-average molecular weight of no greater than about
 800. 10. Theformulation of claim 7 wherein the biodegradable polymer has anumber-average molecular weight of between 350 and
 1500. 11. Theformulation of claim 1 wherein the biocompatible polymer is capped on atleast one end by a group that contains at least one hydrogen atomcapable of hydrogen bonding.
 12. The formulation of claim 1 wherein thebiocompatible polymer is capped on at least one end by an ionic group.13. The formulation of claim 1 wherein the biocompatible polymer iscapped on at least one end by a group that contains no hydrogen atomscapable of hydrogen bonding.
 14. The formulation of claim 13 wherein thebiocompatible polymer is capped on at least one end by an organocarbonylgroup.
 15. The formulation of claim 14 wherein the biocompatible polymeris capped on at least one end by an acetyl group.
 16. The formulation ofclaim 1 wherein the biocompatible polymer has a polydispersity of lessthan about 1.8.
 17. The formulation of claim 1 wherein the biocompatiblepolymer has a polydispersity of less than about 1.4.
 18. The formulationof claim 1 wherein the biocompatible polymer has a polydispersity ofless than about 1.2.
 19. The formulation of claim 18 wherein thebiocompatible polymer has a number-average molecular weight of nogreater than about
 1500. 20. The formulation of claim 17 wherein thebiocompatible polymer has a number-average molecular weight of nogreater than about
 1200. 21. The formulation of claim 16 wherein thebiocompatible polymer has a number-average molecular weight of nogreater than about
 800. 22. The formulation of claim 1 furthercomprising a cosolvent.
 23. The formulation of claim 22 wherein thecosolvent is selected from the group consisting of ethanol, isopropanol,acetone, ethyl lactate, dimethyl ether, menthol, tetrahydrofuran, andethyl acetate.
 24. The formulation of claim 23 wherein the cosolvent isethanol.
 25. The formulation of claim 1 wherein each R¹ is a straightchain, branched chain, or cyclic organic group containing 1-6 carbonatoms optionally containing carbonyl groups, oxygen atoms, thiol groups,or catenary nitrogen atoms.
 26. The formulation of claim 25 wherein eachR¹ is a straight chain alkylene or alkenylene group containing 1-6carbon atoms optionally containing carbonyl groups, oxygen atoms, thiolgroups, or fully substituted catenary nitrogen atoms, wherein thenitrogen substituents are free of nucleophilic or hydrogen-donorhydrogen bonding functional groups.
 27. The formulation of claim 1wherein the biocompatible polymer chain comprises units derived from oneor more precursor hydroxyacids.
 28. The formulation of claim 27 whereinthe biocompatible polymer chain comprises units derived from one or moreα-hydroxyacids.
 29. The formulation of claim 27 wherein thebiocompatible polymer chain comprises units derived from one or moreprecursors selected from the group consisting of glycolic acid,trimethylene carbonate, hydroxybutyric acids, p-dioxanone, L-lacticacid, and D-lactic acid.
 30. The formulation of claim 29 wherein thebiocompatible polymer chain comprises units derived from lactic acid andhas an average chain length of about 3-25 of said units.
 31. Theformulation of claim 30 wherein the biocompatible polymer chaincomprises units derived from lactic acid and has an average chain lengthof about 5-16 of said units.
 32. The formulation of claim 1 wherein thebiocompatible polymer has an average chain length of no greater thanabout 70 of said units.
 33. The formulation of claim 1 wherein thebiocompatible polymer has an average chain length of about 3-25 of saidunits.
 34. The formulation of claim 1 wherein the formulation comprisesabout 0.01-25 parts by weight of the biocompatible polymer based on 100parts of the formulation.
 35. The formulation of claim 1 wherein thepropellant comprises 1,1,1,2-tetrafluoroethane,1,1,1,2,3,3,3-heptafluoropropane, or a mixture thereof.
 36. Theformulation of claim 1 wherein the drug is selected from the groupconsisting of antiallergics, analgesics, bronchodilators,antihistamines, antiviral agents, antibiotics, anti-inflammatories,immunomodulators, peptides, and steroids.
 37. The formulation of claim 2wherein the drug is selected from the group consisting of adrenaline,albuterol, atropine, beclomethasone dipropionate, budesonide, butixocortpropionate, clemastine, cromolyn, epinephrine, ephedrine, fentanyl,flunisolide, fluticasone, formoterol, ipratropium bromide,isoproterenol, lidocaine, morphine, nedocromil, pentamidineisoethionate, pirbuterol, prednisolone, salmeterol, terbutaline,tetracycline,4-amino-α,α,2-trimethyl-1H-imidazo[4,5-c]quinoline-1-ethanol,2,5-diethyl-10-oxo-1,2,4-triazolo[1,5-c]pyrimido[5,4-b][1,4]thiazine,1-(1-ethylpropyl)-1-hydroxy-3-phenylurea, and pharmaceuticallyacceptable salts and solvates thereof, and mixtures thereof.
 38. Theformulation of claim 2 in an aerosol canister equipped with a metereddose valve.
 39. The formulation of claim 1 wherein the drug exhibitsincreased solubility in the propellant due to the biocompatible polymer.40. The formulation of claim 1 wherein the drug exhibits increasedchemical stability due to the biocompatible polymer.